75 years old, Female, Reason: pt with cirrhosis, rule out hcc History: rule out hcc LIVER: The liver measures 14.6 cm in length. No significant nodularity or widening of the fissures to suggest cirrhosis. No focal hepatic lesions are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.2 m/s.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. The sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures two mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: No significant abnormalities noted. The spleen measures 9 cm in length. RIGHT KIDNEY: Kidney measures 9.8 cm in length. No hydronephrosis. Subcentimeter right renal simple appearing cyst measuring up to 0.7 cm.LEFT KIDNEY: Kidney measures 10.6 cm in length. No hydronephrosis. Left renal cyst appearing similar to prior exam measuring up to 3.7 cm.OTHER: No significant ascites.
No sonographic evidence of cirrhosis. No focal hepatic mass.