Evaluate for hepatocellular carcinoma. History of cirrhosis. LIVER: The liver is coarse in echogenicity, shrunken and nodular consistent with cirrhosis and fibrosis. No focal suspicious lesion is identified. Note is made of a right hepatic lobe cyst, confirmed on recent MRI.There is normally oriented low amplitude main portal venous blood flow at 0.1 m/s. The right and left portal vein is not visualized.BILIARY TRACT: Nonspecific mild gallbladder wall thickening in the setting of cirrhosis. The gallbladder is full of stones and contracted.The common bile duct measures up to 8 mm, unchanged.PANCREAS: Limited evaluation of the pancreatic head and neck is unremarkable.SPLEEN: Splenomegaly measuring 18.3 cm in length without a focal lesion.RIGHT KIDNEY: The right kidney measures 10.8 cm in length without hydronephrosis, shadowing nephrolithiasis or suspicious lesion evident. OTHER: Patent periumbilical collateral vessel is noted. The left kidney measures 11 cm in length without hydronephrosis, shadowing nephrolithiasis or suspicious lesion. A 1.2 cm cyst is noted and was seen on the prior MRI.
Stable examination with cirrhosis without suspicious liver lesion. Diminished normally oriented portal venous blood flow appearing similar to the prior study.