58-year-old male with a history of cirrhosis presents for HCC screening. LIVER: The liver is nodular in contour and coarse in echogenicity. The liver measures 14 cm in craniocaudal dimension. There is a new 2 cm hypoechoic well-defined mass in the left hepatic lobe. GALLBLADDER, BILIARY TRACT: Partially contracted gallbladder without wall thickening, pericholecystic fluid, gallstones or focal tenderness. No intrahepatic biliary ductal dilatation. No extra-hepatic biliary ductal dilatation with the common duct measuring 2 mm.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: The right kidney measures 10.5 cm without hydronephrosis, shadowing nephrolithiasis or discrete lesion evident.OTHER: Splenomegaly, measuring 15.8 cm. The left kidney measures 11.3 cm without hydronephrosis, shadowing nephrolithiasis or suspicious lesion. 1.3-cm simple appearing cyst.
New 2 cm hypoechoic mass is suspicious for HCC. Further characterization with a dedicated liver MRI is recommended. These findings were discussed with the ordering physician Dr. Shah at 1530 on 05/01/2015. 