Female 65 years old Reason: 65 yo with cirrhosis please screen for HCC LIVER: Nodular contour of the liver compatible with known cirrhosis. No focal hepatic mass. Liver measures 13.9 cm. Main portal vein is patent with normal directional flow and a peak velocity of 32 cm/s.BILIARY TRACT: No intra or extra hepatic biliary ductal dilatation. The common bile duct measures 3 mm. No significant gallbladder wall thickening. There is a shadowing gallstone present within the gallbladder. No evidence of acute inflammation of the gallbladder.PANCREAS: Pancreas is normal in appearance. The distal tail the pancreas is secured by overlying bowel gas.SPLEEN: Spleen is normal in appearance measuring 8.5 cm.KIDNEYS: Normal cortical medullary differentiation. No hydronephrosis, shadowing calculi, or mass. Right kidney measures 10.1 cm. Left kidney measures 10.5 cm. OTHER: No significant abnormalities noted.
1.Nodular contour of the liver compatible with cirrhosis without evidence of a focal mass.2.Cholelithiasis without evidence of cholecystitis.