History of hepatitis B. Presents for hepatocellular carcinoma screening. LIVER: The liver is coarse in echotexture. It measures 11.9 cm in craniocaudal dimension. No focal suspicious lesion. No intrahepatic biliary ductal dilatation. Normal hepatopedal portal venous blood flow at 0.2 to 0.5 meters per second.BILIARY TRACT: No extrahepatic biliary ductal dilatation with the common duct measuring 5 mm. Normally distended gallbladder with sludge and a shadowing gallstone. No gallbladder wall thickening, pericholecystic fluid or focal tenderness.PANCREAS: The partially imaged pancreas is mildly atrophic without a discrete lesion.SPLEEN: The spleen is not visualized due to overlying bowel gas shadowing.RIGHT KIDNEY: The right kidney is atrophic and echogenic measuring 8.4 cm in length without hydronephrosis. OTHER: The left kidney is atrophic and echogenic measuring 8.6 cm in length without hydronephrosis.
1. Coarse liver echotexture consistent with chronic liver disease without evidence of cirrhosis or focal lesion.2. Cholelithiasis without evidence of cholecystitis.3. Findings of chronic medical renal disease.