Male 36 years old; Reason: 36 yo with HCV please eval for HCC History: none LIVER: The liver measures 13.0 cm in length. There is increased and coarse echogenicity of the liver parenchyma. No focal hepatic lesions. No intrahepatic ductal dilation is seen. The main portal vein is patent with normal hepatopetal flow measured at 16.2 cm/s. GALLBLADDER/BILIARY TRACT:The gallbladder wall measures 1.0 mm.No stones are seen, however debris and two subcentimeter hyperechoic nondependent lesions are seen, consistent with gallbladder polyps. The largest of these measures approximately 0.5 x 0.3 x 0.4 cm.No pericholecystic fluid.The common bile duct measures 2.0 mm in diameter.PANCREAS: Portions of the pancreas are obscured by bowel gas with visualized portions normal in appearance.SPLEEN: The spleen measures 8.4 cm and no significant abnormalities are noted.RIGHT KIDNEY: The right kidney measures 10.4 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen.LEFT KIDNEY: The left kidney measures 10.6 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen.OTHER: No significant abnormality noted.
1. Coarse echogenic texture of the liver consistent with chronic liver disease/parenchymal dysfunction. No masses or ascites.2. Gallbladder polyps; the largest of these is approximately 0.5 cm in the largest dimension.