Reason: HCV, elevated APRI @ 2.99 eval for lesions. History: HCV, probable cirrhosis LIVER: The liver measures 11.6 cm in length. Coarse, echogenic hepatic parenchyma. The portal vein is patent with normal directional hepatopedal portal venous flow, peak velocity 23 cm/s. No focal mass.GALLBLADDER, BILIARY TRACT: Status post cholecystectomy. The common hepatic duct measures 0.3 cm. No biliary ductal dilatation.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: The right kidney measures 9.7 cm in length. No shadowing stones or hydronephrosis.LEFT KIDNEY: The left kidney measures 9.2 cm in length. No shadowing stones or hydronephrosis.OTHER: No ascites.
1. Coarse, echogenic liver, consistent with hepatic parenchymal dysfunction or chronic liver disease. No focal mass is identified.