69-year-old male patient with chronic HCV. Question of cirrhosis or cancer. LIVER: The liver measures 15.6 cm in length and demonstrates increased parenchymal echogenicity. No focal hepatic lesion is identified. Main portal vein flow is hepatopetal and measures 0.35 m/sec.GALLBLADDER, BILIARY TRACT: There are gallstones, but no pericholecystic fluid or gallbladder wall thickening. Sonographic Murphy's sign is negative. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 9 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 8.4 cm in length. No evidence of hydronephrosis. OTHER: The left kidney measures 8.9 cm in length. No evidence of hydronephrosis.The spleen measures 11 cm in length.
1. Increased hepatic parenchymal echogenicity which can be seen with hepatic steatosis/hepatic parenchymal dysfunction. No hepatic lesion identified.2. Cholelithiasis without sonographic evidence of acute cholecystitis.