58 year old female with a history of cirrhosis. Presents for CT screening. LIVER: The liver is nodular in contour and coarsened in echotexture consistent with cirrhosis. It is normal in size, measuring 17.3 cm in craniocaudal dimension. No suspicious focal hepatic lesion is identified. No intrahepatic biliary ductal dilatation. There is normal hepatopetal portal venous blood flow at 20 cm per second.GALLBLADDER, BILIARY TRACT: A normally distended gallbladder is present without gallstones, wall thickening or pericholecystic fluid. No extrahepatic biliary ductal dilatation with the common duct measuring 4 mm.PANCREAS: Visualized portions of the pancreas are normal.RIGHT KIDNEY: The right kidney measures 10.4 cm in length without hydronephrosis, shadowing calculus or discrete lesion evident.OTHER: The left kidney is normal in size, measuring 11.2 cm in length without hydronephrosis. There is a 4-mm non-shadowing echogenic parenchymal focus, favoring a benign etiology. The spleen is normal in size, measuring 2 cm in length with a 7 mm cyst.
Cirrhotic liver morphology without discrete suspicious lesion.