History of hepatitis C with cirrhosis. LIVER: The liver is mildly coarse in echotexture. It measures 15 cm in length. No focal lesion or intrahepatic biliary ductal dilatation. Normal hepatopedal portal venous blood flow at 27 cm/s.BILIARY TRACT: Partially distended gallbladder with mild asymmetric wall thickening with comet tail artifact suggestive of focal adenomyomatosis. No shadowing gallstones, pericholecystic fluid or focal tenderness.No extrahepatic biliary ductal dilatation with the common duct measuring 5 mm.PANCREAS: The visualized pancreatic head and body is unremarkable.SPLEEN: The spleen measures 12.8 cm in length without a focal lesion.RIGHT KIDNEY: The right kidney measures 10.8 cm in length. Note is made of an 11 mm shadowing nonobstructive stone. Superior pole simple appearing cyst. No hydronephrosis. OTHER: The left kidney measures 11.2 cm in length. A nonspecific 9 mm hypoechoic focus may represent a renal pyramid. No hydronephrosis or shadowing nephrolithiasis. Color Doppler demonstrates hilar blood flow.
Coarse liver echotexture without a focal lesion or biliary ductal dilatation.Focal gallbladder adenomyomatosis.11 mm nonobstructive right renal calculus.