Male 64 years old Reason: Cirrhosis, eval for HCC History: Cirrhosis LIVER: Echogenic and nodular appearance of liver is consistent with cirrhosis. No suspicious focal hepatic mass. Hypoechoic structure with posterior acoustic enhancement is compatible with a hepatic cyst in the left hepatic lobe measuring 1.0 x 0.8 x 0.8 cm. This is not significantly changed previously measuring 0.8 x 0.8 x 0.7 cm. Main portal vein is patent with normal direction of flow and a peak velocity of 13.4 cm/s.BILIARY TRACT: No intra or extrahepatic biliary ductal dilatation. Gallbladder is normal in appearance. No gallstones.PANCREAS: Head of the pancreas is normal in appearance without pancreatic ductal dilatation. Body and tail of the pancreas are obscured by overlying bowel gas.SPLEEN: Spleen is normal in appearance measuring 12.6 cm in length.KIDNEYS: Normal cortical medullary differentiation. No hydronephrosis, shadowing calculi, or solid mass. Right kidney measures 11.5 cm in length. Left kidney measures 11.4 cm in length. There is a small cystic-appearing structure in the superior pole the right kidney measuring 1.1 x 1.5 x 1.4 cm.OTHER: No significant abnormalities noted.
Cirrhotic liver morphology with an unchanged hepatic cyst. No suspicious hepatic lesions are identified.