Reason: Rule out cirrhosis; HCC History: HCV diagnosed 30 years ago LIVER: The liver measures 16.47 m in length. Coarse, echogenic hepatic parenchyma. Mildly nodular hepatic contour. The portal vein is patent with normal directional hepatopedal flow, peak velocity is 25.8 cm/s. No focal mass.GALLBLADDER, BILIARY TRACT: No significant abnormalities noted. No cholelithiasis. The gallbladder wall measures 0.4 cm and the common bile duct measures 0.5 cm. No biliary ductal dilatation.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: The right kidney measures 10.6 cm in length. No hydronephrosis, shadowing renal calculi, or focal mass. Small anechoic mid pole cyst measures 1.2 x 1.0 cm in the longitudinal plane.LEFT KIDNEY: The left kidney measures 11.1 cm in length. No hydronephrosis, shadowing renal calculi, or focal mass.OTHER: The spleen measures 12.3 cm in length. No ascites.
Coarse, echogenic liver with a mildly nodular contour, consistent with parenchymal dysfunction or chronic liver disease. No focal mass identified.