34-year-old male with a history of hepatitis B and a gallbladder polyp. Presents for HCC screening. LIVER: The liver is normal in morphology, echogenicity and size, measuring 16.2 cm in length. No discrete lesion is identified. No intrahepatic biliary ductal dilatation. Normal hepatopetal portal venous blood flow at 20 cm/sec.BILIARY TRACT: A normally distended and folded over gallbladder is present. Noted again is a mildly echogenic, non-shadowing nondependent focus measuring 4 x 3 x 4 mm along the gallbladder wall, compatible with a polyp, not significantly changed in size accounting for differences in technique.No diffuse wall thickening, pericholecystic fluid, or focal tenderness.No extrahepatic biliary ductal dilatation.PANCREAS: The visualized portions of the pancreatic body and head are unremarkable.SPLEEN: The spleen is normal in morphology, echogenicity, and size, measuring 10.1 cm in length.RIGHT KIDNEY: The right kidney measures 10.4 cm in length without hydronephrosis, shadowing calculus or discrete lesion evident. Color Doppler demonstrates hilar blood flow. OTHER: The left kidney measures 11 cm in length without hydronephrosis, shadowing calculus or discrete lesion evident. Color Doppler demonstrates hilar blood flow.
No focal hepatic lesion. Stable subcentimeter gallbladder polyp.