58-year-old male screening for hepatocellular carcinoma LIVER:The liver measures 16.1 cm in length. The liver is heterogeneous in echotexture similar to prior ultrasound. No new worrisome masses are seen within the liver. The portal vein is patent with hepatopetal flow measuring 37.3 cm/s. GALLBLADDER, BILIARY TRACT: The gallbladder is visualized without stones or significant sludge. Gallbladder wall measures 3.5 mm. Common bile duct measures 4.2 mm, which is normal in caliber.PANCREAS: No significant abnormality noted.SPLEEN: The spleen measures 10.9 cm in length. There is significant abnormalities are noted.KIDNEYS: The right kidney measures 11.8 cm in length. The cortex is normal in echotexture. There is no new masses, hydronephrosis, or stone seen in the right kidney. The left kidney measures 10.5 cm in length. The cortex has normal echogenicity, there are no stones visualized, no hydronephrosis, and no masses seen.
1. No new worrisome masses are seen within the liver. Again demonstrated, the liver is heterogeneous in echotexture similar to prior ultrasound and consistent with parenchymal dysfunction/chronic liver disease.