72-year-old female with chronic viral hepatitis and cirrhosis. Evaluate for hepatocellular carcinoma. LIVER: Overall hepatic size is within normal limits. The hepatic contour scalloped with enlargement of the left lobe and caudate consistent with cirrhosis. Echotexture is highly heterogeneous. No focal mass is identified. Main portal vein is patent with appropriate flow direction.BILIARY TRACT: No biliary tract dilatation. Gallbladder appears unremarkable without cholelithiasis, wall thickening or pericholecystic fluid.PANCREAS: Prominence the pancreatic duct, likely within normal limits.SPLEEN: Upper normal to mildly enlarged.RIGHT KIDNEY: Echogenic without hydronephrosis. OTHER: Left kidney is echogenic with mild prominence of the upper pole renal collecting system which is unchanged from prior renal ultrasound dated 4/13/2015Trace ascites.
Cirrhotic liver without mass.Echogenic kidneysTrace ascites