Male 56 years old Reason: history of alcoholic/HCV cirrhosis r/o lesions History: as above LIVER: Liver measures 15.3 cm. Coarse echotexture of the liver. There is a new 1.9 x 1.6 cm hypoechoic lesion in the right lobe of the liver.BILIARY TRACT: No evidence of cholelithiasis. No evidence of intra or extra hepatic biliary dilatation.PANCREAS: Not well visualized due to overlying bowel gas.SPLEEN: No significant abnormalities noted. Spleen measures 9.4 cm.RIGHT KIDNEY: No significant abnormalities noted. Right kidney measures 10.6 cm. Left kidney measures 10.9 cm. No evidence of hydronephrosis or focal lesions.OTHER: No significant abnormalities noted.
Findings suggestive of chronic liver disease. There is a new hypoechoic lesion in the liver suspicious for hepatocellular carcinoma. Further evaluation with liver MRI is recommended.