77-year-old male with cirrhosis, CKD. Screening for hepatoma. LIVER: Coarse hepatic echotexture with mildly cirrhotic liver morphology . Numerous hepatic cysts again noted without significant interval change. Scattered 2 mm echogenic foci which were not visualized on prior studies. Otherwise, no new suspicious masses are identified.BILIARY TRACT: Cholelithiasis and biliary sludge. No sonographic Murphy's sign or biliary ductal dilation.PANCREAS: No significant abnormalities noted.SPLEEN: No significant abnormalities noted.RIGHT KIDNEY: Echogenic kidneys. Renal cysts without significant interval change. No hydronephrosis.OTHER: Interval development of mild ascites.
1. Scattered 2 mm echogenic foci which were not visualized on prior studies are too small to completely characterize. Continued attention to these areas are recommended on subsequent examinations. 2. Otherwise, cirrhotic liver morphology with coarsened hepatic echotexture and numerous hepatic cysts without significant interval change. 3. Mild ascites new since previous.4. Cholelithiasis and biliary sludge.