Female 63 years old; Reason: please evaluate for malignancy, progression of cirrhosis, portal HTN History: 63 yo F with NAFLD and Hep C cirrhosis LIMITED ABDOMENLIVER: The liver measures 20.8 cm in length. The liver has a micronodular contour. The parenchyma is echogenic with coarsened echotexture which limits the evaluation for focal mass. Within this limitation, no suspicious mass is identified. Again seen within segment 2 of the liver is a portosystemic shunt, unchanged. There is no ascites. The portal vein is patent and demonstrates hepatopetal flow with a peak velocity of 0.3 m/sec. BILIARY TRACT: The gallbladder is absent. Common duct measures 0.3 cm. There is no intrahepatic biliary ductal dilatation.PANCREAS: The imaged head of the pancreas is normal. The body and tail are obscured by bowel gas.KIDNEYS: The right kidney measures 9.8 cm. The cortex is normal in echogenicity. No shadowing calculi or hydronephrosis is present. The left kidney measures 9.7 cm. The cortex is normal in echogenicity. There is a 1.4-cm nonobstructing, shadowing stone in the inferior aspect of the kidney. There is no hydronephrosis. SPLEEN: The spleen measures 10.8 cm. in length.
1.Hepatomegaly with micronodular contour and coarse, echogenic parenchyma compatible with cirrhosis. Within the limitations of the exam, no suspicious liver mass is identified.2.No change in segment two intrahepatic portosystemic shunt. 3.Nonobstructing left renal stone.