Male 64 years old Reason: R/O HCC History: HCV, cirrhosis LIVER: The liver measures 16.0 cm in length with a mildly nodular contour. The parenchyma is mildly coarse and echogenic . No focal liver lesion is identified. The main portal vein is patent and demonstrates normal direction of flow with a velocity of 2.7 m/s. There is no ascites.BILIARY TRACT: The gallbladder is absent. The common duct measures 1.6 cm in diameter, it previously measured 2 cm. There is no intrahepatic biliary ductal dilatation.PANCREAS: The imaged head of the pancreas is normal with no evidence of mass. The body and tail are obscured by bowel gas. The pancreatic duct is mildly dilated but unchanged.KIDNEYS: The right kidney measures 8.7 cm. The cortex is normal in echogenicity. No shadowing calculi or hydronephrosis is present. The left kidney measures 8.6 cm. The cortex is normal in echogenicity. No shadowing calculi or hydronephrosis is present. SPLEEN: The spleen measures 8.8 cm. in length. OTHER: No significant abnormalities noted.
1.Mildly coarse and echogenic liver compatible with chronic liver disease.2.No hepatic masses identified.3.Chronic, duct and pancreatic ductal dilatation is stable to slightly decreased.