51-year-old female with hepatitis B. Evaluate for HCC. LIVER: Measures 20.2 in length. Increased hepatic echogenicity without discrete focal lesion. Patent portal vein with antegrade flow. BILIARY TRACT: No cholelithiasis. No gallbladder wall thickening, pericholecystic fluid, or biliary ductal dilation. PANCREAS: The pancreas is incompletely imaged due to bowel gas. The imaged portions of the pancreas appear unremarkable. SPLEEN: Unremarkable in size and echogenicity. KIDNEY: No hydronephrosis or nephrolithiasis. Focal contour abnormality of the lateral right kidney seen on limited views likely represents lobulation, but not definitively seen on prior studies, and a mass cannot be entirely excluded.OTHER: No significant abnormalities noted.
1. Increased hepatic echogenicity consistent with hepatic steatosis or parenchymal disease, without discrete focal lesion. 2. Focal contour abnormality of the lateral right kidney seen on limited views most likely represents lobulation, but not definitively seen on prior studies, and a mass cannot be entirely excluded. Continued attention to this region is recommended on follow-up examinations, and if there is clinical concern a renal protocol CT or MR may be performed for further evaluation.