80-year-old female with history of NASH. Evaluate for hepatocellular carcinoma. LIVER:Liver measures 12.5 cm. There is coarse and increased echogenicity of the parenchyma. No concerning mass or ascites. Again seen is a round anechoic 1.0 x 0.8 x 0.9 cm lesion with posterior acoustic enhancement consistent with a simple cyst. The portal vein is patent with normal hepatopedal flow.GALLBLADDER, BILIARY TRACT: The gallbladder is nondistended. The gallbladder wall measures 2.0 mm. No stones, sludge, or pericholecystic fluid.PANCREAS: Examination the pancreas is limited by overlying bowel gas. The visualized portions appear normal.SPLEEN: The spleen was unable to visualized.KIDNEYS: The right kidney measures 10.4 cm. The cortex has normal echogenicity. No shadowing calculi or hydronephrosis. The left kidney measures 9.2 cm. The cortex has normal echogenicity. No shadowing calculi or hydronephrosis. OTHER: No significant abnormality noted.
1. Coarse, echogenic liver consistent with chronic liver disease/parenchymal dysfunction. No concerning mass or ascites.