Hepatitis C. Evaluate for hepatocellular carcinoma. LIVER: Non-cirrhotic liver morphology. Normal parenchymal echogenicity. No suspicious hepatic lesions. A 9 mm hyperechoic focus in the right hepatic lobe statistically likely represents an hemangioma. Normal portal venous blood flow and direction.GALLBLADDER, BILIARY TRACT: No biliary ductal dilation. Cholelithiasis. Otherwise unremarkable appearance of the gallbladder. No sonographic Murphy's sign.PANCREAS: No sonographic abnormality evident in the visualized pancreatic head and neck. The body and tail are obscured by bowel gas.KIDNEYS: The right kidney is 10.2 cm in length. The left kidney is 10.9 cm in length. No suspicious renal lesions are evident. No hydronephrosis is present.SPLEEN: 11.0 cm in length, without focal lesions evident.OTHER: No significant abnormalities noted. No ascites.
1. 9 mm hyperechoic focus in the right hepatic lobe statistically likely represents an hemangioma. Follow-up ultrasound in 6-12 months is recommended. No suspicious hepatic lesions identified otherwise.2. Cholelithiasis without evidence of cholecystitis.