75-year-old male with history of HCV cirrhosis. Evaluate for HCC. LIVER: Measures 16.5 cm in length. Mildly nodular contour with increased echogenicity. A 1.7 x 1.4 x 2.1 cm avascular hypoechoic mass is identified in the left hepatic lobe, no associated posterior acoustic enhancement seen to suggest a cyst.BILIARY TRACT: No significant abnormalities noted.PANCREAS: The pancreas is partially imaged due to bowel gas. Imaged portions of the pancreas appear unremarkable.SPLEEN: No significant abnormalities noted.KIDNEY: No significant abnormalities noted. OTHER: No ascites.
1. 2 cm mass in the left hepatic lobe indeterminate but worrisome for hepatocellular carcinoma. Recommend dedicated hepatic contrast enhanced MRI or CT for further characterization. 2. Cirrhotic liver morphology and increased echogenicity consistent with chronic liver disease.