History of cirrhosis. Evaluate for HCC. LIVER: Heterogeneously coarse liver parenchyma with nodular contour compatible with cirrhosis. No focal lesion is evident. Normal hepatopedal portal venous blood flow at 30 cm/s.BILIARY TRACT: Large gallstone within a normally distended gallbladder without pericholecystic fluid or focal tenderness. The gallbladder wall measures 4 mm which is nonspecific.No intra or extra hepatic biliary ductal dilatation with the common duct measuring 3 to 4 mm.PANCREAS: The visualized pancreatic body is unremarkable. The remainder is obscured by overlying bowel gas shadowing.SPLEEN: The spleen measures 17 cm in length without a focal lesion.RIGHT KIDNEY: The right kidney measures 11.7 cm in length without hydronephrosis, shadowing nephrolithiasis or discrete lesion. OTHER: The left kidney measures 13.5 cm in length without hydronephrosis, shadowing nephrolithiasis or discrete lesion.
Cirrhotic liver without a focal lesion or biliary ductal dilatation. Borderline splenomegaly.Cholelithiasis without cholecystitis.