66-year-old male patient with HCV, liver fibrosis. Evaluate for HCC. LIVER: The liver measures 16.8 cm in length. Hepatic parenchymal echogenicity is coarsened and increased. No focal hepatic lesion is identified. Main portal vein flow is hepatopetal and measures 0.1 m/sec.GALLBLADDER, BILIARY TRACT: There are no gallstones, gallbladder wall thickening, or pericholecystic fluid. Sonographic Murphy's sign is negative. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 3 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 10.5 cm in length. No evidence of hydronephrosis. OTHER: The left kidney measures 10.3 cm in length. No evidence of hydronephrosis.The spleen measures 9.2 cm in length.
Coarsened, increased hepatic echogenicity consistent with chronic liver disease without focal hepatic lesion identified. 