Male; 57 years old. Reason: of liver, hep c, screen for hcc History: same LIVER: The liver measures 16.9 cm in length. The liver contour is smooth, the parenchyma is coarse in echotexture and increased in echogenicity. No worrisome mass is identified. There is no ascites.The main portal vein is patent with hepatopetal flow with a peak velocity of 0.2 m/sec.BILIARY TRACT: Again seen is adenomyomatosis the gallbladder fundus. The gallbladder wall is normal thickness. The common duct measures 5 mm. There is no intrahepatic biliary ductal dilatation.PANCREAS: The pancreas is obscured by overlying bowel gas.SPLEEN: The spleen measures 9.9 cm in length.RIGHT KIDNEY: The right kidney measures 10.3 cm in length. The cortex is normal in echogenicity. There is no hydronephrosis, renal stone, or worrisome mass identified. OTHER: The left kidney measures 10.1 cm in length. Again seen within the inferior pole of the left kidney is a 8.4 x 5.9 x 6.0 cm simple cysts (previously 7.4 x 6.6 x 6.2 cm).
Coarse echogenic liver compatible with hepatic steatosis. No worrisome mass is identified.