69-year-old male with history of liver fibrosis. Evaluate for HCC. LIVER: Normal liver size, measuring 16.2 cm in craniocaudal dimension. The liver is nodular and coarse in echotexture consistent with fibrosis. No focal hepatic lesion is identified. No intrahepatic biliary ductal dilatation. Pulsatile hepatopetal portal venous blood flow at 40 cm/sec. Dilated hepatic veins suggests increased right-sided heart pressure.GALLBLADDER, BILIARY TRACT: Normally distended gallbladder without wall thickening, pericholecystic fluid, or focal tenderness. No extrahepatic biliary ductal dilatation with the common duct measuring 5 mm.PANCREAS: Partially visualized pancreas is unremarkable.RIGHT KIDNEY: The right kidney is normal in size, measuring 11.2 cm in length. The hydronephrosis, shadowing calculus or discrete lesion evident.OTHER: The left kidney is normal in size measuring lump a 9 cm without hydronephrosis, shadowing calculus or discrete lesion evident. Mild splenomegaly, measuring 15.6 cm. Moderate bilateral pleural effusions.
Cirrhotic liver morphology without focal lesion or biliary ductal dilatation. Splenomegaly. Moderate bilateral pleural effusions.