Reason: cirrhosis, HCC screen LIVER: The liver measures 13 cm in length and is nodular in contour. The liver demonstrates increased parenchymal echogenicity with coarsened echotexture. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.24 m/s.BILIARY TRACT: Status post cholecystectomy. No intrahepatic biliary ductal dilatation is present. The common bile duct measures 8 mm in diameter, unchanged.PANCREAS: Pancreas not well visualized.SPLEEN: No significant abnormalities noted. The spleen measures 11.4 cm in length. RIGHT KIDNEY: Kidney measures 11.0 cm in length. Normal cortical echotexture. No hydronephrosis.LEFT KIDNEY: Kidney measures 11.5 cm in length. Normal cortical echotexture. No hydronephrosis.OTHER: No significant abnormalities noted.
Cirrhotic liver morphology without focal lesions identified. Mild splenomegaly. No ascites.