Female 65 years old; Reason: R/O HCC History: HCV, cirrhosis LIVER: The liver measures 15.4 cm in length. There is coarse increased echogenicity of the liver parenchyma. No focal hepatic lesions. No intrahepatic ductal dilation is seen. The main portal vein is patent with normal hepatopetal flow measured at 28.7 cm/s. GALLBLADDER/BILIARY TRACT: The gallbladder wall measures 2.5 mm. No stones are seen. No pericholecystic fluid. The common bile duct measures 3.2 mm in diameter. The pancreatic duct is visualized measuring 3.7 mm.PANCREAS: Portions of the pancreas are obscured by bowel gas with visualized portions normal in appearance.SPLEEN: The spleen measures 10.5 cm and no significant abnormalities are noted.RIGHT KIDNEY: The right kidney measures 10.9 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen.LEFT KIDNEY: The left kidney measures 9.9 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen.
There is coarse increased echogenicity of the liver which is compatible with fatty infiltration/hepatocellular dysfunction. No worrisome masses are seen.