Female 73 years old Reason: 73 yo with cirrhosis please screen for HCC History: none LIVER: The liver is normal in size measuring 15.2 cm in length. A mildly nodular contour and increased parenchymal echogenicity compatible with known history of cirrhosis. No focal hepatic lesions or masses are identified. The portal vein is patent with hepatopetal flow of 0.2 m/s.BILIARY TRACT: Gallbladder stones and sludge are seen. No sonographic Murphy's sign. No intra or extrahepatic biliary ductal dilatation. The common bile duct measures up to 4 mm.PANCREAS: The head and proximal body of the pancreas are seen without significant abnormality. Distal pancreas is obscured by overlying bowel gas.SPLEEN: No significant abnormalities noted. The spleen measures 9.6 cm in length.RIGHT KIDNEY: Right kidney measures 10.2 cm. Normal echotexture. There is a small simple appearing cyst in the right kidney measuring 0.7 x 0.7 x 0.7 cm. No hydronephrosis or shadowing calculi.LEFT KIDNEY: Kidney measures 11.4 cm in length. Normal echotexture. No hydronephrosis or shadowing calculus. Large simple appearing left renal cyst measures 6.0 x 6.2 x 5.2 cm.OTHER: No significant abnormalities noted.
1.Cirrhotic liver without focal lesions or masses.2.Cholelithiasis without evidence of cholecystitis.3.Bilateral simple renal cysts.