Hepatitis B. Evaluate for hepatocellular carcinoma. LIVER: Non-cirrhotic liver morphology. Increased and coarsened hepatic echogenicity, compatible with parenchymal dysfunction. No focal hepatic lesions. Normal portal venous blood flow and direction.GALLBLADDER, BILIARY TRACT: No biliary ductal dilation. Normal appearance of the gallbladderPANCREAS: No sonographic abnormality evident in the visualized pancreatic head and neck. The body and tail are obscured by bowel gas.KIDNEYS: The right kidney is 10.4 cm in length. The left kidney is 10.8 cm in length. No suspicious renal lesions are evident. No hydronephrosis is present.SPLEEN: 8.6 cm in length, without focal lesions evident.OTHER: No significant abnormalities noted. No ascites is identified.
Coarsened hepatic echogenicity, compatible with diffuse liver disease. No suspicious liver lesion is identified.