Hepatocellular carcinoma screening. Hepatitis C. LIVER: 13.9 cm in length. Non-cirrhotic liver morphology. Coarsened parenchymal echogenicity. Simple and complex-appearing cysts noted. No lesions suspicious for hepatocellular carcinoma are evident. Normal portal venous blood flow and direction.GALLBLADDER, BILIARY TRACT: No biliary ductal dilation. Normal appearance of the gallbladderPANCREAS: No sonographic abnormality evident in the visualized pancreatic head and neck. The body and tail are obscured by bowel gas.KIDNEYS: The right kidney is 11.3 cm in length. A 6.2 x 5.5 x 5.6 cm soft tissue mass is noted at the superior pole. An additional 4 mm simple appearing cyst is noted in the superior pole. No hydronephrosis is present.The left kidney is 9.0 cm in length. A 10 mm benign appearing cyst is noted in the midpole. No suspicious renal lesions are evident. No hydronephrosis is seen.SPLEEN: 7.3 cm in length, without focal lesions evident.
1. Simple and complex-appearing hepatic cysts. No lesions suspicious for hepatocellular carcinoma evident. 2. 6.2 cm right renal mass, suspicious for renal cell carcinoma. Evaluation with renal-protocol CT or MRI is recommended for further evaluation. Findings were text paged to ordering physician Dr. Rao at 9:00 AM on 12/16/2015.px3wr