38-year-old male with history of hepatitis B. Evaluate for HCC. LIVER:Measures 14.5 cm. Parenchyma is coarse and echogenic. There is approximately 1.3 x 1.0 hyperechoic lesion seen in the right lobe that was not present on the prior study. It was only able to be imaged in one oblique plane. Otherwise, no ascites or intrahepatic biliary dilation. Portal vein is patent with normal hepatopedal flow.GALLBLADDER, BILIARY TRACT: Gallbladder is nondistended. The wall measures 0.2 cm. No stones, sludge, or pericholecystic fluid. The common bile duct measures 0.2 cm.PANCREAS: Unable to fully evaluate due to overlying bowel gas.SPLEEN: Measures 11.0 cm without sonographic abnormalities.KIDNEYS: Right kidney measures 10.1 cm. Kidney measures 10.8 cm. Kidneys are mildly echogenic. No shadowing calculi, hydronephrosis, or focal mass. OTHER: No significant abnormality noted.
1. Hyperechoic lesion seen in the right lobe of the liver that was not present on the prior study of uncertain etiology. Further characterization with MRI is recommended.2. Increased, coarse echotexture of liver consistent with chronic liver disease/parenchymal dysfunction.3. Increased echogenicity of the kidneys consistent with medical renal disease/parenchymal dysfunction.