51 year old male with hepatitis C. Evaluate for HCC LIVER: Mild increased echogenicity of the liver measuring 16.5 cm in length. No focal hepatic lesions. Main portal vein is patent with appropriate directional flow; peak velocity measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: Status post cholecystectomy. Common duct measures 4 mm in caliber. No intra-or extrahepatic biliary ductal dilatation.PANCREAS: Tail of the pancreas is obscured by overlying bowel gas. The remaining visualized portions are increased in echogenicity similar to prior study suggestive of fatty atrophy, somewhat inappropriate for age.RIGHT KIDNEY: Normal echogenicity of the right kidney measuring 10.3 cm in length. No hydronephrosis or shadowing calculi are noted.OTHER: Normal echogenicity of the left kidney measuring 10.0 cm in length. No hydronephrosis or shadowing calculi are noted.Normal echogenicity of the spleen measuring 12.0 cm in length.
Mild increased echogenicity of the liver suggestive of parenchymal dysfunction/fatty infiltration. No focal hepatic lesions.