Male; 61 years old. Reason: Hepatitis B, eval for HCC History: HBV LIVER: Coarsely echogenic. Measures 14 cm. Right hepatic lobe simple cyst measuring up to 1.2-cm. No suspicious lesion. No intrahepatic biliary ductal dilation. Patent portal vein with normal directional flow.GALLBLADDER, BILIARY TRACT: Gallbladder is normally distended. No gallstones/sludge. No pericholecystic fluid or abnormally increased wall thickness. Stable echogenic focus with ringdown artifact in the gallbladder wall, again suggestive of cholesterolosis or adenomyomatosis. Common bile duct measures 3 mm. PANCREAS: Visualized portion of the pancreatic head is unremarkable. Pancreatic tail is obscured by overlying bowel gas.SPLEEN: No significant abnormality. KIDNEYS: Right kidney measures 10.5 cm, left measures 10.3 cm. Echogenicity is within normal limits. No focal lesions, shadowing calculi, or hydronephrosis.OTHER: No ascites.
1. Coarse echogenic liver, compatible with diffuse fatty alteration or chronic liver disease.2. No suspicious hepatic lesion.3. Gallbladder adenomyomatosis versus cholesterolosis.