Hepatitis B. Evaluate for HCC. LIVER: Non-cirrhotic liver morphology. Increased parenchymal echogenicity. A 1.8 cm hypoechoic lesion is identified in the left hepatic lobe, not seen on the prior ultrasound or CT. Normal portal venous blood flow and direction.GALLBLADDER, BILIARY TRACT: No biliary ductal dilation. Several 1-2 cm gallstones noted. Otherwise unremarkable appearance of the gallbladderPANCREAS: No sonographic abnormality evident in the visualized pancreatic head and neck. The body and tail are obscured by bowel gas.KIDNEYS: The right kidney is 12.0 cm in length, with a 1.7 cm exophytic cyst. The left kidney is 11.1 cm in length. No suspicious renal lesions are evident. No hydronephrosis is present.SPLEEN: 13.5 cm in length, without focal lesions evident.OTHER: No significant abnormalities noted. No ascites identified.
1. Hypoechoic lesion measuring 1.8 cm in the left hepatic lobe, not seen on prior imaging. This lesion is indeterminate by sonographic appearance and further characterization with contrast-enhanced CT or MRI with liver protocol is recommended. 2. Cholelithiasis without evidence of cholecystitis.