64-year-old male with history of HCV, cirrhosis. Evaluate for HCC. LIVER: The liver measures 15.3 cm in length. No focal hepatic lesion is identified. There is coarsened echotexture of the liver with increased echogenicity consistent with chronic liver disease. The liver is mildly nodular in contour. Main portal vein flow is hepatopetal and measures 0.2 m/s.GALLBLADDER, BILIARY TRACT: There is no intra or extrahepatic biliary ductal dilatation. There is no pericholecystic fluid, gallbladder wall thickening, or gallstones. The common bile duct measures 4 mm in diameter. PANCREAS: The pancreas is largely obscured by overlying bowel gas.RIGHT KIDNEY: The right kidney measures 11 cm in diameter. The left kidney measures 11.7 cm in length. No evidence of hydronephrosis. OTHER: The spleen measures 10.3 cm in length.
Coarsened echotexture and increased echogenicity of the hepatic parenchyma consistent with chronic liver disease. No focal hepatic lesion is identified.