81-year-old male with a history of newly diagnosed hepatitis C, and thrombocytopenia. Evaluate for cirrhotic liver morphology. LIVER: The liver parenchyma is minimally coarsened. It is normal in size, measuring 15.0 cm in craniocaudal dimension. The liver contour, and capsule are smooth. 1.3-cm coarse calcification in the right hepatic dome, seen on prior CT. No suspicious focal hepatic lesion, or intrahepatic biliary ductal dilatation. Normal hepatopetal portal venous blood flow at 23 cm/sec.GALLBLADDER, BILIARY TRACT: No extrahepatic biliary ductal dilatation with the common bile duct measuring 3 mm. Normally distended gallbladder without cholelithiasis, wall thickening or pericholecystic fluid.PANCREAS: The pancreas is obscured by overlying bowel gas shadowing.RIGHT KIDNEY: The right kidney measures 9.8 cm in length without hydronephrosis, shadowing nephrolithiasis, or discrete lesion evident.OTHER: The spleen is normal in size, measuring 7.9 cm. The left kidney is difficult to see, measuring 8.6 cm, without hydronephrosis.
Mildly coarse hepatic parenchyma, compatible with parenchymal dysfunction. Otherwise, normal hepatic morphology without discrete lesion. 