57-year-old male with HCV cirrhosis. Evaluate for HCC. LIVER: The liver parenchyma is moderately coarsened and nodular in contour. It is normal in size, measuring 19.4 cm in the craniocaudal dimension. No intrahepatic biliary ductal dilatation or focal hepatic lesion is evident. Normal hepatopetal portal venous blood flow at 20 cm/sec.BILIARY TRACT: No extrahepatic biliary ductal dilatation with the common bile duct measuring 5 mm at the level of the pancreatic head. The gallbladder is full of gallstones, but does not appear significantly distended. There is no wall thickening, pericholecystic fluid, or focal tenderness.PANCREAS: The visualized pancreatic head is unremarkable.SPLEEN: The spleen is mildly enlarged, measuring 13.5 cm in length without a discrete abnormality.RIGHT KIDNEY: The right kidney measures 11.6 cm in length without hydronephrosis, shadowing calculus or discrete lesion evident. Color Doppler demonstrates hilar blood flow. OTHER: The left kidney measures 12.7 cm in length without hydronephrosis, shadowing calculus or discrete lesion evident. Color Doppler demonstrates hilar blood flow.No significant ascites.
1. Cirrhotic liver morphology, and mild splenomegaly. No biliary ductal dilatation or focal hepatic lesion.2. Partially contracted gallbladder filled with gallstones.