History of hepatitis C. Evaluate for HCC. LIVER: The liver capsule is smooth. The liver echogenicity is within normal limits. The liver measures 18 cm in length. No discrete lesion is identified. No intrahepatic biliary ductal dilatation. Normal hepatopedal portal venous blood flow at 21 cm/s.BILIARY TRACT: Normally distended gallbladder without dependent gallstones, wall thickening, pericholecystic fluid or focal tenderness. No extrahepatic biliary ductal dilatation with the common duct measuring 3 mm. Echogenic 3 mm nondependent nonmobile lesion, likely a small polyp.PANCREAS: The visualized portions of the pancreatic body and head are unremarkable. The remainder of the pancreas is obscured by overlying bowel gas shadowing.SPLEEN: The spleen measures 8 cm in length without a focal lesion.RIGHT KIDNEY: The right kidney measures 12.2 cm in length without hydronephrosis, shadowing nephrolithiasis or discrete lesion. Color Doppler demonstrates hilar blood flow. OTHER: The left kidney measures 12.4 cm in length without hydronephrosis, shadowing nephrolithiasis or discrete lesion. Color Doppler demonstrates hilar blood flow.
No focal liver lesion. Probable 3 mm gallbladder polyp.