67 years old, Female, Reason: evaluate for HCC History: cirrhosis LIVER: The liver measures 14.2 cm in length. Nodular contour of the liver is consistent with cirrhosis. No focal hepatic lesion identified. The portal vein is patent demonstrating hepatopetal flow with a velocity of 0.1 m/s. Perihepatic ascites is noted.BILIARY TRACT: There is no evidence of cholelithiasis. The gallbladder is thickened and edematous, nonspecific and likely reactive in setting of cirrhosis/related to hypoalbuminemia. Per ultrasound technologist, sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 5 mm in diameter.PANCREAS: Pancreas is not well visualized due to overlying bowel gas.SPLEEN: The spleen is enlarged measuring 17.8 cm in length. Splenule noted adjacent to the spleen measuring 2.3 x 2.0 by 2.0 cm.RIGHT KIDNEY: Kidney measures 10.2 cm in length. Normal echotexture. Mild hydronephrosis on the right without shadowing calculus delineated, entirety of right ureter not seen due to overlying bowel gas.LEFT KIDNEY: Kidney measures 8.9 cm in length. Normal echotexture. No hydronephrosis or shadowing calculus. Previously noted inferior pole cyst is not seen on this exam.
1.Cirrhotic liver without evidence of focal hepatic lesion.2.Moderate amount of ascites and splenomegaly are present, likely secondary to cirrhosis. Thick-walled gallbladder as described.