41-year-old male patient with history of cirrhosis. Evaluate for HCC. LIVER: The liver measures 17.6 cm in length. No focal hepatic lesion is identified. The liver is nodular in contour with coarsened echotexture. Main portal vein flow is hepatopetal and measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: There is cholelithiasis. No pericholecystic fluid is identified. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 3 mm in diameter.PANCREAS: The head and body of the pancreas demonstrate normal echogenicity. The tail is obscured by overlying bowel gas.RIGHT KIDNEY: The right kidney measures 10.7 cm in length. No evidence of hydronephrosis. OTHER: The left kidney measures 11.1 cm in length. No evidence of hydronephrosis.The spleen measures 16.3 cm in length.
1. Cirrhotic morphology of the liver without focal lesion.2. Splenomegaly.3. Cholelithiasis without sonographic evidence of acute cholecystitis.