70-year-old male with history of cirrhosis, evaluate for HCC. LIVER: Measures 13.8 cm in length. Cirrhotic morphology with increased hepatic echogenicity, without focal lesion.BILIARY TRACT: No significant abnormalities noted.PANCREAS: 1.0 x 0.7 x 0.6 cm cystic structure in the proximal pancreatic body with a thin internal septation, not seen on prior studies. No pancreatic ductal dilation. The pancreatic tail is not clearly visualized due to bowel gas.SPLEEN: No significant abnormalities noted.RIGHT KIDNEY: Right renal cyst measuring 7.8 x 7.3 x 6.1 cm, and left renal cyst measuring 1.8 x 1.8 x 2.3 cm, without internal septation or solid component, not significantly changed compared to prior studies. OTHER: No significant abnormalities noted.
1. Cirrhotic liver with increased hepatic echogenicity consistent with chronic liver disease, without discrete lesion identified. 2. 1.0 cm septated cystic lesion in the pancreatic body not seen on prior studies is nonspecific and may represent a side branch IPMN. Further imaging with MRCP may be considered for further characterization as warranted clinically. 