Reason: HBV carrier, evaluate for hepatocellular carcinoma. LIVER: The liver measures 18.8 cm in length. The liver demonstrates increased parenchymal echogenicity and appears heterogeneous. Redemonstration of a cyst in the left lobe measuring 1.4 x 1.2 x 1.8 cm, similar to prior. No additional focal hepatic lesions are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.23 m/s.BILIARY TRACT: Gallbladder surgically absent. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 5 mm in diameter.PANCREAS: Not well visualized.SPLEEN: No significant abnormalities noted. The spleen measures 10.1 cm in length. RIGHT KIDNEY: Kidney measures 10.2 cm in length. Normal cortical echotexture. No hydronephrosis.LEFT KIDNEY: Kidney measures 10.7 cm in length. Normal cortical echotexture. No hydronephrosis. Superior pole cyst, similar to prior.OTHER: No significant abnormalities noted.
Coarse, echogenic liver with mild hepatomegaly suggestive of chronic liver disease without suspicious focal lesions identified.