Hepatitis C. Evaluate for hepatocellular carcinoma. LIVER: Cirrhotic liver morphology. Increased parenchymal echogenicity. No focal hepatic lesions. Normal portal venous blood flow and direction.GALLBLADDER, BILIARY TRACT: No biliary ductal dilation. Minimally thickened gallbladder wall, which may be seen in the setting of ascites. Otherwise unremarkable appearance of the gallbladderPANCREAS: Obscured by bowel gas.KIDNEYS: The right kidney is 10.1 cm in length. The renal parenchyma is echogenic. No suspicious renal lesions are evident. No hydronephrosis is present. The left kidney is not well visualized due to inability to reposition the patient. SPLEEN: 10.8 cm in length, without focal lesions evident.OTHER: Moderate amount of ascites present.
1. Cirrhotic liver morphology without suspicious hepatic lesion identified.2. Moderate amount of ascites.3. Echogenic renal parenchyma without hydronephrosis, compatible with medical renal disease.