Male; 52 years old. Reason: please evaluate for malignancy or worsening portal HTN (ascites) History: 52 yo M with Hereditary hemochromatosis associated cirrhosis LIVER: The liver measures 20.0 cm in length. The liver is nodular in contour, the parenchyma is echogenic and very coarsened in echotexture. Within this limitation, no focal lesion is identified.The main portal vein is patent with hepatopetal flow and a peak velocity of 0.27 m/sec.BILIARY TRACT: Status post cholecystectomy. The common duct measures 8 mm in diameter. There is no intrahepatic biliary duct dilatation.PANCREAS: The the body of the pancreas are unremarkable. The pancreatic tail is not well-visualized due to overlying bowel gas.SPLEEN: The spleen measures 15.4 cm in length.KIDNEYS: Right kidney measures 13.2 cm in length. The left kidney measures 13.7 cm in length. A 2.5 x 1.5 x 2.2 cm simple cyst is seen in the upper pole of left kidney. There is no hydronephrosis, shadowing renal stone, or worrisome renal mass identified in either kidney. OTHER: A 3.5 x 3.8 x 5.3 cm lymph node is again seen in the region of the pancreatic head.
1.Cirrhotic liver morphology. Within this limitation no focal lesion is identified.2.5.3-cm lymph node again seen near the pancreatic head, stable. 