Male 55 years old Reason: cirrhosis abn mass? History: hep B carrier LIVER: Liver is coarsened with increased echogenicity measuring 14.4 cm in length. Main portal vein flow is hepatopedal with a peak velocity of 16.0 cm/s. No focal hepatic masses. No definite sonographic evidence of cirrhosis.BILIARY TRACT: No intra or extra hepatic biliary ductal dilatation. No gallbladder wall thickening. Multiple polyps are identified, similar to the prior exam. The largest polyp measures approximately 0.6 x 0.5 cm x 0.5 cm, previously measuring 1.0 x 0.6 x 0.8 cm. Spondylosis smaller or unchanged over multiple prior exams. No internal flow is identified gallbladder polyps.PANCREAS: Head of the pancreas is normal in appearance without pancreatic ductal dilatation. Body and tail of the pancreas are scattered by overlying bowel gas.SPLEEN: Spleen is normal in appearance measuring 9.9 cm.KIDNEYS: Normal cortical medullary differentiation. No hydronephrosis, shadowing calculi, or mass. Right kidney measures 10.6 cm. Left kidney measures 11.4 cm. OTHER: No significant abnormalities noted.
1.Multiple gallbladder polyps, not significantly changed from prior exam. 2.Coarsened echogenicity of the liver without sonographic evidence of focal hepatic lesions.