61-year-old female with cirrhosis presents for evaluation of mass. LIVER:The liver measures 16.5 cm. The parenchyma is coarse and increased with a nodular contour and cirrhotic morphology. No focal lesions to suggest hepatocellular carcinoma. No ascites. No intrahepatic biliary dilation. The portal vein is patent with normal hepatopedal flow.GALLBLADDER, BILIARY TRACT: No biliary ductal dilation. Gallbladder is absent.PANCREAS: No significant abnormality noted.SPLEEN: Measures 13.5 cm. No sonographic abnormalities.KIDNEYS: The right kidney measures 11.4 cm. The left kidney measures 11.4 cm. No shadowing calculi, or worrisome mass, or hydronephrosis. The cortices has normal echogenicity. OTHER: No significant abnormality noted.
1. Increased and coarse echogenicity of liver consistent with chronic liver disease/parenchymal dysfunction. Cirrhotic morphology noted. No focal lesions to suggest hepatocellular carcinoma. No ascites.