53-year-old female with cirrhosis. Evaluate for hepatic mass and ascites. LIMITED ABDOMENLIVER: Liver is cirrhotic in morphology and coarsely echogenic. Collateral vessels are noted extending into the abdominal wall. In the right lobe of the liver there is and almost isoechoic mass with a hypoechoic rim. Although the appearance is somewhat atypical for hepatocellular carcinoma, this remains a strong potential diagnosis in a cirrhotic patient. The main portal vein is patent with appropriate flow direction. A portion of the right portal vein does not demonstrate obvious flow and there could be intrahepatic isolated portal vein thrombus.BILIARY TRACT: No gross biliary tract dilatation.. Multiple dependent gallstones are identified within the gallbladder without gross wall thickening.PANCREAS: No significant abnormalities noted.SPLEEN: No significant abnormalities noted. RIGHT KIDNEY: No significant abnormalities noted.OTHER: Mild to moderate ascites.INDEX LESION MEASUREMENTS (Current exam date/time: 1/29/2016 10:06:47)RIGHT HEPATIC LOBE MASS: 2.6 x 2.6 cm (Image 8192, Series 1).RIGHT HEPATIC LOBE LESION LONG: 2.8 cm (Image 8448, Series 1).
1 cirrhotic liver with mass.2. Possible thrombus in the right portal venous system..3. Ascites