Reason: History of HBV. Evaluate for HCC LIVER: The liver measures 14.6 cm in length. Coarse echogenic liver parenchyma, consistent with hepatic steatosis/parenchymal dysfunction. No focal masses. The portal vein is patent with normal hepatopedal directional flow and peak velocity of 32.6 cm/s.GALLBLADDER, BILIARY TRACT: No significant abnormalities noted. No sonographic evidence of cholelithiasis or biliary ductal dilatation. Gallbladder wall measures 0.3 cm.PANCREAS: Obscured due to overlying bowel gas.RIGHT KIDNEY: Atrophic, echogenic right kidney, measuring 6.6 cm in length. No significant hydronephrosis or shadowing renal calculi.LEFT KIDNEY: Not visualized.SPLEEN: The spleen measures 13.0 cm in length.OTHER: Right iliac fossa renal transplant measures 11.8 cm in length and demonstrates normal echogenicity without shadowing renal calculi or hydronephrosis. No ascites.
1. Coarse echogenic liver echotexture, consistent with hepatic parenchymal dysfunction, hepatic steatosis, or chronic liver disease without focal mass or biliary ductal dilatation.2. Right iliac fossa renal transplant without shadowing renal calculi or hydronephrosis.