Female 34 years old; Reason: Assess for evidence of HCC History: Chronic hepatitis B infection LIVER: The liver measures 14.4 cm in length. There is coarse increased echogenicity of the liver parenchyma. No focal hepatic lesions. No intrahepatic ductal dilation is seen. The main portal vein is patent with normal hepatopetal flow measured at 19.1 cm/s. GALLBLADDER/BILIARY TRACT: The gallbladder wall measures 1.5 mm. No stones are seen. No pericholecystic fluid. The common bile duct measures 1.3 mm in diameter. PANCREAS: Portions of the pancreas are obscured by bowel gas with visualized portions normal in appearance.SPLEEN: The spleen measures 8.6 cm and no significant abnormalities are noted.RIGHT KIDNEY: The right kidney measures 10.0 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen. A renal cyst is seen in the superior pole measuring 1.8 cm x 1.3 cm x 1.4 cm.LEFT KIDNEY: The left kidney measures 11.1 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen.
The liver has a coarse increased echogenicity compatible with fatty infiltration/hepatocellular dysfunction. No focal hepatic masses are seen.