59-year-old male with a history of hepatitis C presenting for HCC screening. LIVER: The liver capsule is relatively smooth. The parenchyma is coarse in echotexture. No focal hepatic lesion or intrahepatic biliary ductal dilatation. Normal hepatopetal portal venous blood flow at 30 cm/sec.GALLBLADDER, BILIARY TRACT: No extrahepatic biliary ductal dilatation with the common bile duct measuring 2 mm at the pancreatic head. Normally distended gallbladder without wall thickening, pericholecystic fluid, or focal tenderness. Cholelithiasis. 6-mm gallbladder polyp.PANCREAS: The visualized pancreatic body and head are normal in appearance.RIGHT KIDNEY: The right kidney is normal in size, measuring 11.5 cm without hydronephrosis or shadowing nephrolithiasis. There is a 10 mm inferior pole probable cyst.OTHER: The spleen is normal in size, measuring 10.5 cm. The left kidney is normal in size, measuring 12.3 cm, without hydronephrosis, shadowing nephrolithiasis, or discrete lesion evident.
1. Coarse hepatic echotexture compatible with parenchymal disease without a focal lesion identified.2. Cholelithiasis without evidence of acute cholecystitis.3. 6-mm gallbladder polyp.