66-year-old male with history of NASH cirrhosis evaluated for HCC. LIVER: Measures 20 cm in length. Cirrhotic hepatic morphology and increased echogenicity without discrete focal lesion.BILIARY TRACT: Mild biliary sludge but no cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. No biliary ductal dilation.PANCREAS: No significant abnormalities noted.SPLEEN: Enlarged spleen measures 17.6 cm in length without focal lesion.KIDNEY: Bilateral renal cysts without septation or suspicious nodular component. No hydronephrosis.OTHER: Trace ascites.
1.Cirrhotic liver morphology and increased hepatic echogenicity consistent with chronic liver disease, without evidence of discrete lesion.2.Hepatosplenomegaly and trace ascites.