Female 65 years old; Reason: HCV, Cirrhosis, eval for HCC History: HCV, Cirrhosis LIVER: The liver measures 15.3 cm in length. There is coarse increased echogenicity of the liver parenchyma. The liver has a nodular appearance. No focal hepatic lesions. No intrahepatic ductal dilation is seen. The main portal vein is patent with normal hepatopetal flow measured at 10.5 cm/s. GALLBLADDER/BILIARY TRACT: The gallbladder surgically absent. The common bile duct measures 1.0 mm in diameter. PANCREAS: Portions of the pancreas are obscured by bowel gas with visualized portions normal in appearance.SPLEEN: The spleen measures 11.5 cm and no significant abnormalities are noted. Small calcifications are redemonstrated within the spleen.RIGHT KIDNEY: The right kidney measures 12.8 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen. A renal cyst is at the superior pole seen measuring 6.3 cm x 4.7 cm x 4.9 cm. This is increased in size from prior ultrasound.LEFT KIDNEY: The left kidney measures 11.9 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen.OTHER: Redemonstration of a recannulization of the umbilical vein is seen from prior ultrasound. No ascites is seen.
1. The liver has cirrhotic morphology as seen on prior exam. No focal hepatic masses or ascites. Recannulization of the umbilical vein is redemonstrated compatible with portal hypertension. The portal vein is patent with decreased velocity flow.2. Right renal cyst is revisualized slightly larger than prior.