57 years old, Male, Reason: assess for liver cirrhosis History: hepatitis C positive LIVER: The liver measures 17 cm in length. Majority of the hepatic parenchyma normal limits. A focal hypoechoic area may be posttraumatic or represent focal fatty sparing. No nodularity to suggest cirrhosis. No focal hepatic masses. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.2 m/s.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. The sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 5 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: No significant abnormalities noted. The spleen measures 7.5 cm in length. RIGHT KIDNEY: Kidney measures 8.8 cm in length. Normal echotexture. Nohydronephrosis, shadowing calculus or mass.LEFT KIDNEY: Kidney measures 9.1 cm in length. Normal echotexture. Nohydronephrosis, shadowing calculus or mass.OTHER: No significant abnormalities noted.
1.No nodularity of the hepatic parenchyma to suggest cirrhosis.2.Anterior hypoechoic region of the liver may be posttraumatic or represent focal fatty sparing. No suspicious focal hepatic masses.