54-year-old male, rule out HCC LIVER: Coarse echotexture of the liver measuring 15.8 cm in length. No focal hepatic lesions. Main portal vein is patent with appropriate directional flow; peak velocity measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: Normal echogenicity of the gallbladder. Focal hyperechoic focus with ring down artifact in the of the gallbladder fundus is again seen and likely representing focal adenomyomatosis. There is an echogenic nonmobile focus along the nondependent wall of the gallbladder likely a gallbladder polyp measuring 4 mm x 4 mm x 5 mm. Common duct measures 4 mm in caliber. No intra or extrahepatic biliary ductal dilatation.PANCREAS: Not well seen due to overlying bowel gas.RIGHT KIDNEY: Measures 10.6 cm in length. No hydronephrosis or shadowing calculi are noted.OTHER: Left kidney measures 9.5 cm in length. No hydronephrosis or shadowing calculi are noted.Spleen is not visualized.
1. Coarse echotexture of the liver suggestive of parenchymal dysfunction/fatty infiltration. No focal hepatic lesions.2. Subcentimeter gallbladder polyp along the nondependent portion of the gallbladder wall. 3. Focal adenomyomatosis of the gallbladder is again seen. 