Reason: Rule out HCC History: HCV, cirrhosis LIVER: The liver measures 17.1 cm in length. Echogenic, coarse hepatic parenchyma. The portal vein is patent with normal directional hepatopetal flow, peak velocity 23.3 cm/s. No focal mass.GALLBLADDER, BILIARY TRACT: Status post cholecystectomy. No biliary ductal dilatation.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: The left kidney measures 11.1 cm in length. The right kidney measures 10.6 cm in length. No hydronephrosis or shadowing stones.OTHER: The spleen measures 9.9 cm in length. No ascites.
Echogenic, coarse hepatic parenchyma compatible with medical dysfunction or chronic liver disease. No biliary ductal dilatation or focal mass.