6-year-old female patient with history of PBC cirrhosis. HCC screen. LIVER: The liver measures 13.6 cm in length. No focal hepatic lesion is identified. The liver contour is nodular. There are multiple cystic spaces within the subcapsular region in the right hepatic lobe which may be overlying loculated ascitic fluid. Main portal vein flow is hepatopetal and measures 0.3 m/sec.GALLBLADDER, BILIARY TRACT: There are multiple shadowing gallstones. A small amount of pericholecystic fluid appears similar to the prior study. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 5 mm in diameter.PANCREAS: The head and body of the pancreas demonstrate normal echogenicity. The tail is obscured by overlying bowel gas.RIGHT KIDNEY: The right kidney is atrophic and echogenic measuring 6.1 cm in length. No evidence of hydronephrosis. OTHER: The left kidney measures 13.4 cm in length. No evidence of hydronephrosis.The spleen measures 10.7 cm in length.
1. Cirrhotic morphology of the liver without focal hepatic lesion.2. Cholelithiasis with small amount of pericholecystic fluid, appearing similar to the prior study.3. Atrophic right kidney.