48-year-old male presents for HCC surveillance with history of HBV. LIVER: The liver morphology is normal and the capsule is smooth. The liver parenchyma is echogenic. It is normal in size, measuring 16 cm in craniocaudal dimension. There is no focal hepatic lesion or biliary ductal dilatation. Normal hepatopetal portal venous blood flow is present at 40 cm/sec.GALLBLADDER, BILIARY TRACT: Normally distended gallbladder without evidence of inflammation. The common duct is normal in caliber, measuring 5 mm.PANCREAS: The visualized portions of the pancreas are normal in appearance.RIGHT KIDNEY: The right kidney is normal in size, measuring 10.5 cm without hydronephrosis. The left kidney is normal in size, measuring 12.1 cm without hydronephrosis.OTHER: The spleen is normal in size, measuring 10.4 cm.
Echogenic hepatic parenchyma, compatible with diffuse fatty infiltration. No focal hepatic lesion or stigmata of cirrhosis.