60-year-old male with cirrhosis. Screen for HCC. Limited evaluation, particularly of the liver at the dome, due to technical factors including poor patient breath holding and bowel gas. Within this limitation, the following observations are made.LIVER: Cirrhotic liver morphology. No definite focal hepatic lesion. Liver measures 13 cm in length. Main portal vein is patent with normal directional flow. Patent TIPS visualized. No intrahepatic biliary ductal dilation.GALLBLADDER, BILIARY TRACT: Normal appearance of the gallbladder. Common bile duct measures 2 mm.PANCREAS: Poorly visualized due to overlying bowel gas.RIGHT KIDNEY: Right kidney is 9.9 cm in length. No hydronephrosis.OTHER: Left kidney is 11.7 cm in length. No hydronephrosis.Spleen is 15.3 cm in length. No focal splenic lesions.No ascites.
Limited examination without evidence of focal liver lesion.