Female; 47 years old. Reason: HCC screening History: hepatitis B LIVER: The liver measures 15.2 cm in length. The liver surface is smooth, the parenchyma demonstrates a mildly coarsened echotexture. No worrisome hepatic lesion is identified. There is no ascites. The main portal vein is patent with hepatopetal flow and a peak velocity of 0.3 m/sec. BILIARY TRACT: The gallbladder is unremarkable. There is no cholelithiasis or gallbladder wall thickening. The common duct measures 0.3 cm in diameter. There is no intrahepatic biliary ductal dilatation.PANCREAS: The body of the pancreas are unremarkable. The tail is obscured by overlying bowel gas.SPLEEN: The spleen measures 9.7 cm in length.KIDNEYS: The right kidney measures 11.1 cm in length. There is mild dilation of the renal collecting system, new from the prior study. The cortex is normal in echogenicity. There is no shadowing renal stone identified. The left kidney measures 10.9 cm in length. There is no hydronephrosis or shadowing renal stone identified. OTHER: The bladder is not distended.
1.No evidence of cirrhosis or focal hepatic mass.2.Mild dilation of the right renal collecting system is new from the prior study, an underlying obstructing stone is not entirely excluded with this study, correlation with patient history is recommended.