64-year-old female with a history of cirrhosis. Evaluate for HCC. LIVER: Coarse echotexture and nodular morphology compatible with cirrhosis. The liver is mildly shrunken, measuring 13.8 cm in craniocaudal dimension. No focal hepatic lesion is identified. No intrahepatic biliary ductal dilatation. Normal hepatopetal portal venous blood flow at 20 cm/sec.GALLBLADDER, BILIARY TRACT: No extrahepatic biliary ductal dilatation with the common duct measuring 4 mm. Cholelithiasis within a normally distended gallbladder. Mild gallbladder wall thickening is nonspecific in the setting of ascites. No focal tenderness.PANCREAS: The pancreas is obscured by overlying bowel gas shadowing.RIGHT KIDNEY: The right kidney is normal in size, measuring 9.8 cm without hydronephrosis, shadowing nephrolithiasis, or discrete lesion. The cortex is echogenic.OTHER: The spleen is normal in size, measuring 11.4 cm.The left kidney measures 10 cm without hydronephrosis, shadowing nephrolithiasis, or discrete lesion. The cortex is echogenic.Small volume ascites.
1. Cirrhosis without discrete hepatic lesion or biliary duct dilatation. Small volume ascites.2. Cholelithiasis without specific evidence of acute cholecystitis. 3. Medical renal disease.