History of esophageal varices heavy alcohol use in the past, evaluate for cirrhosis LIVER: Liver measures 15 cm with diffuse coarse echotexture suggesting underlying parenchymal disease. A new oval circumscribed hypoechoic mass is identified in possibly segment 5 of right lobe of liver that measures 2.2 x 1.4 x 2 cm.GALLBLADDER, BILIARY TRACT: Distended gallbladder with multiple small gallstones are mobile in nature. Normal gallbladder wall thickness noted. No pericholecystic fluid noted. Common hepatic duct measures within normal limits. No intrahepatic biliary ductal dilatation.PANCREAS: Head and body of pancreas appears unremarkable. The tail of pancreas not visualized due to overlying bowel gas.KIDNEY: Right kidney measures 11.3 cm and left kidney 11.5 cm. Normal echotexture of the kidneys noted. In the right upper pole there is a new simple cyst that measures 1.6 x 2.1 x 1.6 cm. Redemonstrated is a simple cyst in the midpole of left kidney that measures 2 x 1.6 x 1.4 cm.No renal stones noted.OTHER: No ascites.
1. Diffuse coarse echotexture of the background liver parenchyma with a new hypoechoic liver lesion suspicious for HCC. Further evaluation with MRI of the liver with contrast is recommended.2. New right renal simple cyst.3. Cholelithiasis without evidence of cholecystitis.