51-year-old male with hepatitis C. Evaluate for HCC. LIVER: The liver parenchyma is mildly increased and coarsened in echogenicity. No discrete lesion is identified. It measures 17.8 cm in craniocaudal dimension. No intrahepatic biliary ductal dilatation. Normal hepatopetal portal venous blood flow at 20 cm/sec.BILIARY TRACT: The common duct measures 5 mm in caliber, within normal limits. The patient is status post cholecystectomy.PANCREAS: The visualized portions of the pancreatic body and head are normal.SPLEEN: The spleen is normal morphology, echogenicity and size, measuring 11.8 cm in length.RIGHT KIDNEY: The right kidney measures 10.7 cm in length without hydronephrosis, shadowing calculus or discrete lesion evident. Color Doppler demonstrates hilar blood flow. OTHER: The left kidney measures 10.7 cm in length without hydronephrosis, shadowing calculus or discrete lesion evident. Color Doppler demonstrates hilar blood flow.
Mild hepatic parenchymal hyper-echogenicity suggesting underlying hepatic steatosis and/or parenchymal dysfunction. No discrete liver lesion.