65-year-old male with history of hepatitis C who presents for evaluation of cirrhosis and HCC. LIVER: The hepatic parenchyma is mildly coarse in echotexture. There is no nodularity of the hepatic capsule or other findings to suggest cirrhosis. No hepatic masses are identified. The liver measures 17 cm in length.GALLBLADDER, BILIARY TRACT: No cholelithiasis, pericholecystic fluid, or gallbladder wall thickening. No intra or extrahepatic biliary ductal dilatation with the common bile duct measuring 0.3 cm.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: There is an echogenic focus in the right mid pole with shadowing, consistent with nephrolithiasis. No hydroureteronephrosis. The right kidney measures 11.6 cm and the left kidney measures 11.4 cm in length.SPLEEN: The spleen is normal in echotexture and measures 10.6 cm in length.
1.No evidence of cirrhosis or hepatic mass. 2.Small right midpole nonobstructing nephrolithiasis.