Male 62 years old Reason: assess for liver lesions History: Hx of HCV LIVER: Mildly hyperechoic hepatic mass with a hypoechoic rim, measuring 3.5 x 3.7 x 4.1 cm is highly concerning for malignancy. Background liver appears coarse and nodular compatible with cirrhosis. Two other hyperechoic foci in the liver are nonspecific. Main portal vein is patent with normal directional flow and a peak velocity of 14.3 cm/s.BILIARY TRACT: Stones and sludge are present within the gallbladder. Cholesterol deposits are also present within the gallbladder wall. No evidence of acute blood or inflammation. No intra or extrahepatic biliary ductal dilatation.PANCREAS: The visualized portions of the pancreas are normal in appearance.SPLEEN: Spleen is normal in appearance measuring 9.1 cm.KIDNEYS: There is a partially visualized horseshoe kidney. No hydronephrosis or shadowing stone is identified.OTHER: No significant abnormalities noted.
1.Hyperechoic hepatic mass with a hypoechoic rim is highly concerning for malignancy. Recommend dedicated hepatic CT or MRI to further characterize.2.Cirrhotic liver morphology.3.Incidental note of a horseshoe kidney.