Male 55 years old Reason: assess for HCC History: Hx of HCV and cirrhosis LIVER: Cirrhotic appearance of liver, consistent with given history. No focal hepatic mass is identified. Main portal vein is patent with normal directional flow and uptake velocity of 13.8 cm/s.BILIARY TRACT: No intra or extrahepatic biliary ductal dilatation. No gallstones. Unchanged gallbladder polyp measuring 0.3 x 0.3 x 0.4 cm. Negative Murphy's sign. Common bile duct is within normal limits measuring 4 mm.PANCREAS: Visualized portions of the pancreas are within normal limits.SPLEEN: Spleen is normal in appearance measuring 14.0 cm.KIDNEYS: Normal cortical medullary differentiation. No hydronephrosis, shadowing calculi, or mass. Right kidney measures 13.5 cm. Left kidney measures 14.1 cm. OTHER: No significant abnormalities noted.
1.Cirrhotic liver morphology consistent with given history, without focal mass.2.Unchanged gallbladder polyp. Recommend continued attention to this polyp on regular follow-up exams.