46-year-old female patient with HCV carrier on Gleevec with LAM for suppressive therapy. Evaluate for HCC. LIVER: The liver measures 14.5 cm in length. Hepatic parenchymal echogenicity is increased. There is a 1.7 x 1.6 x 1.5 cm left hepatic cyst, previously 2.0 x 1.8 x 1.5 cm. Main portal vein flow is hepatopetal and measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: There are no gallstones, gallbladder wall thickening, or pericholecystic fluid. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 2 mm in diameter.PANCREAS: The head and body of the pancreas demonstrate normal echogenicity. The tail is obscured by overlying bowel gas.RIGHT KIDNEY: The right kidney measures 10.6 cm in length. No evidence of hydronephrosis. OTHER: The left kidney measures 11.1 cm in length. No evidence of hydronephrosis.The spleen measures 8.9 cm in length.
Increase hepatic parenchymal echogenicity which can be seen with hepatic steatosis/hepatic parenchymal dysfunction. No suspicious hepatic lesion identified.