Female 60 years old; Reason: HCV s/p SVR, cirrhosis, NASH, eval for HCC History: Cirrhosis, NASH LIVER: The liver measures 18.5 cm in length. There is coarse and increased echogenicity of the liver parenchyma. The liver appears nodular as demonstrated on prior ultrasound. No focal hepatic lesions. No intrahepatic ductal dilation is seen. The main portal vein is patent with normal hepatopetal flow measured at 16.5 cm/s. GALLBLADDER/BILIARY TRACT: The gallbladder wall measures 2.0 mm. Small shadowing echogenic foci are seen within the gallbladder. No pericholecystic fluid. Negative sonographic Murphy sign. The common bile duct measures 5.0 mm in diameter. PANCREAS: Portions of the pancreas are obscured by bowel gas with visualized portions normal in appearance.SPLEEN: The spleen measures 9.0 cm and no significant abnormalities are noted.RIGHT KIDNEY: The right kidney measures 12.9 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen.LEFT KIDNEY: The left kidney measures 10.5 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen.
1. The liver demonstrates cirrhotic morphology is seen in prior ultrasound. No worrisome masses are noted within the liver.2. Cholelithiasis without evidence of acute cholecystitis.