66-year-old male patient with HCV, bridging fibrosis. Evaluate for HCC. LIVER: The liver measures 14.0 cm in length. There is mild coarseness and increased echogenicity of the hepatic parenchyma. No focal hepatic lesion is identified. Main portal vein flow is hepatopetal and measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: The gallbladder is contracted; the patient reported recently eating. There is no significant pericholecystic fluid. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 2 mm in diameter.PANCREAS: The pancreas is largely obscured by overlying bowel gas. RIGHT KIDNEY: The right kidney measures 11.3 cm in length. No evidence of hydronephrosis. There is a 7 mm stone within the right lower pole.OTHER: The left kidney measures 11.3 cm in length. No evidence of hydronephrosis.The spleen measures 8.1 cm in length.No ascites.
1. Coarse liver, likely related to chronic liver disease/hepatic steatosis. No focal hepatic lesion identified.2. Non-obstructing right nephrolithiasis.