54-year-old male with hepatitis C cirrhosis. Evaluate for hepatocellular carcinoma. LIVER: Liver is enlarged measuring 22 cm in length and coarsely echogenic with cirrhotic morphology. No focal hepatic masses identified. Limited color and spectral Doppler demonstrates patency and appropriate flow direction in the main portal vein.BILIARY TRACT: Gallbladder is poorly distended due to postprandial state and therefore wall cannot be well assessed. There is again noted a nondependent focal echogenic area in the gallbladder wall measuring 2 to 3 mm consistent with polyp. Biliary tract is normal in caliber.PANCREAS: Limited due to bowel gasSPLEEN: Upper normal mildly enlargedRIGHT KIDNEY: No significant abnormalities noted. . No mass identified.OTHER: Periportal lymph nodes which are nonspecific in face with cirrhosis.
Stable exam with cirrhotic liver