Reason: screen for HCC History: + cirrhosis LIVER: The liver measures 19.3 cm in length, indicating hepatomegaly. Coarse echogenic liver parenchyma without focal lesion or mass. Normal portal venous directional hepatopedal blood flow, peak velocity 24.5 cm/s, mildly pulsatile.GALLBLADDER, BILIARY TRACT: Multiple small hyperechoic stones in the dependent portion of the gallbladder without pericholecystic inflammation. The gallbladder wall measures 0.3 cm. The common bile duct measures 0.6 cm. No biliary ductal dilatation. Negative sonographic Murphy's sign.PANCREAS: Obscured by bowel gas.RIGHT KIDNEY: The right kidney measures 9.6 cm in length. No hydronephrosis, masses, or stones.LEFT KIDNEY: The left kidney measures 9.3 cm in length. No hydronephrosis, masses, or stones.OTHER: No ascites.
1. Coarse echogenic liver parenchyma, consistent with chronic liver disease or parenchymal dysfunction. No focal mass or ductal dilatation.2. Cholelithiasis without acute inflammation.