79 years old, Female, Reason: NASH evaluate for HCC History: NASH LIVER: The liver measures 12 cm in length. Increased hepatic echogenicity is consistent with fatty infiltration. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.3 m/s. Anechoic subcentimeter focus in the right hepatic lobe likely representing a cyst is not significantly in size measuring 0.8 x 0.9 x 1.1 cm.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. The sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 3 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: No significant abnormalities noted. The spleen measures 5.4 cm in length. RIGHT KIDNEY: Kidney measures 10.1 cm in length. Normal echotexture. Nohydronephrosis, shadowing calculus or mass.LEFT KIDNEY: Kidney measures 9.6 cm in length. Normal echotexture. Nohydronephrosis, shadowing calculus or mass.OTHER: No significant abnormalities noted.
1.Increased hepatic echogenicity with unchanged anechoic focus favored to represent a cyst.2.Normal gallbladder and biliary tract with no evidence of cholelithiasis or cholecystitis.