84-year-old female with HCV, cirrhosis. Evaluate for HCC LIVER: Cirrhotic liver morphology. Liver measures 14.8 cm in length. Focal echogenic focus along the anterior aspect of the right hepatic lobe measures 5 mm x 4 mm x 5 mm. Additional hepatic cyst measures 6 mm x 6 mm x 6 mm. Portal vein is patent with appropriate directional flow.BILIARY TRACT: Contracted gallbladder containing multiple shadowing stones. No pericholecystic fluid. No gallbladder wall thickening. The common bile duct measures 9 mm in caliber, pancreatic duct measures 4 mm in caliber. PANCREAS: Visualized portions of pancreas are normal in caliber.SPLEEN: Normal echogenicity of the spleen measuring 7.1 cm in length.RIGHT KIDNEY: Status post right nephrectomy.OTHER: No significant abnormality noted.
1. Cirrhotic liver morphology. Stable hyperechoic focus in the right hepatic lobe not significantly changed and may represent a hemangioma or fat within a fissure. Continued follow up recommended. Additional subcentimeter hepatic cyst is noted. 2. Stable prominence of the common bile duct. 3. Contract gallbladder containing stones with no evidence of cholecystitis. 