Reason: pt with autoimmune hepatitis, screen for hepatocellular carcinoma. LIVER: The liver measures 15.2 cm in length and is smooth in contour. The liver parenchymal echotexture is normal. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.27 m/s.BILIARY TRACT: Cholelithiasis including large gallstone measuring up to 2.4 cm in diameter. No associated gallbladder wall thickening or pericholecystic fluid. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 4 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: No significant abnormalities noted. The spleen measures 10.6 cm in length. RIGHT KIDNEY: Kidney measures 11.3 cm in length. Normal cortical echotexture. No hydronephrosis. Prominent extrarenal pelvis appearing similar to the 12/11/2012 examination.LEFT KIDNEY: Kidney measures 11.7 cm in length. Normal cortical echotexture. No hydronephrosis.OTHER: No significant abnormalities noted.
1.No focal hepatic lesions.2.Cholelithiasis without evidence of acute cholecystitis.