59-year-old female with hepatocellular carcinoma status post ablation. LIVER: The liver measures 13.7 cm in length. The parenchyma is coarse and echogenic, compatible with known cirrhosis. The ablation zone in the right hepatic lobe is similar in appearance and measures 2.9 x 1.9 cm, previously 2.6 x 1.6 cm. No new lesions are seen. The portal vein is patent with normal directional flow and velocity. GALLBLADDER, BILIARY TRACT: Cholelithiasis without sonographic evidence of cholecystitis. No biliary ductal dilation.PANCREAS: No significant abnormalities noted in the visualized pancreatic head. The body and tail are obscured by bowel gas.KIDNEYS: The right kidney measures 8.6 cm. The cortex is echogenic. No shadowing calculus or hydronephrosis is identified.The left kidney measures 10.1 cm. The cortex is echogenic. No shadowing calculus or hydronephrosis is identified.OTHER: The spleen measures 9.6 cm. No ascites is seen.
1. Stable sonographic appearance of the posttreatment changes in the right hepatic lobe.2. Cholelithiasis.3. Echogenic renal cortices, compatible with medical renal disease.