Evaluate for malignancy, worsening portal hypertension, 52-year-old male with hereditary hemachromatosis related cirrhosis LIVER: Liver measures 19.1 cm with nodular contour and increased coarse echogenicity consistent with cirrhotic morphology. Main portal vein is patent with normal flow directionality. No intra or extrahepatic ductal dilatation.GALLBLADDER, BILIARY TRACT: Status post cholecystectomy. Common duct measures up to 6 mm.PANCREAS: The liver parenchyma was not visualized due to overlying bowel gas. Body appears unremarkable. A lymph node in the ectatic head now measures 4.4 x 2.9 x 2.6 cm, previously measured 5.3 cm, reduced in size.Spleen and KIDNEY: Right kidney measures 12.6 cm and left kidney measures 13.3 cm. Normal echo texture. No focal lesions. A simple cyst noted in the left kidney that measures 0.9 x 0.9 x 1.4 cm.No hydronephrosisSpleen measures 16.7 cm, mildly centimeters without any focal lesion.OTHER: No ascites
Cervical morphology of the liver without any focal lesion. No ascites. Interval reduction in size of the lymph node seen in the pancreatic head, now measures 4.4 cmMild splenomegaly noted.