Hi and welcome to HCM!
Thanks for posting your query here.
Edema in both the lower limbs
shows right heart or liver failure
. The sonogram report is suggesting of metastases. Cancer cells from the other source of the body are invading the liver. They are spreading from the other part of the body where it is having cancer. So you should find out where the primary lesion is. The elevated levels of ALP-alkaline phosphatase
and gamma glutamyl transferase shows a biliary or liver disease. These parameters are also elevated in alcoholic liver disease
. But the finding of metastases is of concern. Right cortical renal cyst
is a common finding in the elderly people. A cyst is a sac filled with fluid. It can be simple if it wont show pressure symptoms on the surrounding structures.
Your Father-in-law needs to be further evaluated for the primary lesion.
Hope this is helpful to you.