70 year-old male with cirrhosis. Evaluate liver for for cirrhosis, evidence of HCC. LIVER: Nodular contour and heterogeneous echotexture of the liver measuring 16.3 cm in length. No focal hepatic lesions. Main portal vein is patent with appropriate directional flow; peak velocity measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: Status post cholecystectomy. Common duct measures 6 mm in caliber. No intra-or extrahepatic biliary ductal dilatation.PANCREAS: Not well-visualized due to overlying bowel gas.RIGHT KIDNEY: Measures 10.6 cm in length. No hydronephrosis or shadowing calculi are noted. Cyst at the midpole measures 2.3 cm x 2.5 cm x 3.3 cm unchangedOTHER: Spleen measures 15.5 cm in length and is normal in echogenicity.Left kidney measures 10.4 cm in length. No hydronephrosis or shadowing calculi are noted.Incompletely visualized bilateral pleural effusions.
1. Cirrhotic liver morphology with no focal hepatic lesions.2. Incompletely visualized bilateral pleural effusions.