53-year-old male with HBV, screening for HCC. LIVER:The liver measures 13.8 cm in length. There is increased echogenicity within the liver; unchanged. There is an area of increased echogenicity in the left lobe which represents previously seen hepatic hemangioma on prior ultrasound and CT. This measured 3.6 cm x 3.8 cm and is similar in size to prior ultrasound in 2015. No new worrisome masses are seen within the liver. A cyst seen within the left lobe of the liver measures 1.4 cm x 0.7 cm and is stable in size from prior ultrasound. The portal vein is patent with hepatopetal flow, measuring 21.1 cm/s.GALLBLADDER, BILIARY TRACT: There are two subcentimeter polyps along the gallbladder wall. The larger polyp measures 0.5 cm x 0.4 cm, and the smaller polyp measures 0.4 cm x 0.3 cm.. There is minimal amount of sludge seen within the gallbladder. The gallbladder wall measures 1.6 mm, which is normal. The common bile duct measures 3.8 mm, which is normal caliber. PANCREAS: No significant abnormality noted.SPLEEN: The spleen measures 9.5 cm. No significant abnormality noted.KIDNEYS: The right kidney is 11.3 cm in length. No worrisome mass, stones, or hydronephrosis is seen within the right kidney. The left kidney measures 12 cm in length. No worrisome mass, hydronephrosis, or stones are seen in the left kidney.
1. Echogenic liver, compatible with chronic liver disease. No new worrisome masses within the liver.2.Hemangioma in the left lobe of the liver seen on prior ultrasound and CT is stable in size, not as well-visualized as prior CT.3. Two subcentimeter polyps visualized along the gallbladder wall.