Female 57 years old; Reason: HCC screening History: Hep B LIVER: The liver measures 13.5 cm in length. There is slight 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 32.2 cm/s. A small right lobe liver cyst is reidentified from prior ultrasound measuring 0.4 cm x 0.3 cm x 0.4 cm, this is stable in size from prior ultrasound.GALLBLADDER/BILIARY TRACT: The gallbladder wall measures 2.1 mm. No stones are seen. No pericholecystic fluid. The gallbladder polyp is reidentified measuring 0.6 cm x 0.6 cm x 0.5 cm. This previously measured 0.6 cm x 0.6 cm. No internal vascularity seen within the polyp. The common bile duct measures 3.1 mm in diameter. PANCREAS: Portions of the pancreas are obscured by bowel gas with visualized portions normal in appearance.SPLEEN: The spleen measures 9.0 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.LEFT KIDNEY: The left kidney measures 10.2 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen.
1. There is a slightly coarse increased echogenicity to the liver parenchyma compatible with fatty infiltration/hepatocellular dysfunction. No focal hepatic lesions are seen.2. A gallbladder polyp is re-identified and stable in size from prior ultrasound. Continued surveillance of this gallbladder polyp is recommended. No evidence of cholelithiasis or acute cholecystitis are seen.