68-year-old male with hepatitis C presenting for hepatocellular carcinoma screening. LIVER: The hepatic parenchyma is mildly coarse and the liver capsule is nodular consistent with cirrhosis. No focal lesion is identified. The liver measures 15 cm in craniocaudal dimension. No intrahepatic biliary ductal dilatation. There is normal hepatopetal portal venous blood flow at 20 cm/sec.BILIARY TRACT: The common bile duct measures 6 mm in caliber, within normal limits. Status post cholecystectomy.PANCREAS: No significant abnormalities noted.SPLEEN: The spleen measures 11.7 cm.RIGHT KIDNEY: The right kidney measures 13.9 cm in length without hydronephrosis or shadowing calculus. There is a 1.4-cm hypoechoic lower pole lesion, characterized as a simple cyst on the prior MRI. Color Doppler demonstrates hilar blood flow.OTHER: Status post left nephrectomy.
Cirrhotic liver morphology without a discrete hepatic lesion.