58-year-old male with HCV cirrhosis. Evaluate for HCC. LIVER: The liver contour is nodular and the parenchyma is moderately coarsened, consistent with cirrhosis. No discrete mass or intrahepatic biliary ductal dilatation evident. Normal hepatopetal portal venous blood flow is present at 20 cm/sec.BILIARY TRACT: The common bile duct at the level of the pancreatic head is normal in caliber, measuring 3 mm. A partially contracted gallbladder is noted with no wall thickening, pericholecystic fluid, focal tenderness or gallstones.PANCREAS: The visualized pancreatic head and body are unremarkable.SPLEEN: The spleen is mildly enlarged, measuring 13.7 cm in length without a discrete lesion.RIGHT KIDNEY: The right kidney measures 11.6 cm in length without hydronephrosis, shadowing calculus or discrete lesion evident. Color Doppler demonstrates hilar blood flow. OTHER: The left kidney measures 13.4 cm in length without hydronephrosis, shadowing calculus or discrete lesion evident. Color Doppler demonstrates hilar blood flow.There is mild ascites.
Cirrhotic liver morphology, mild splenomegaly, and small volume ascites. No discrete liver lesion or biliary ductal dilatation.