72-year-old female with history of cirrhosis. Evaluate for HCC. LIVER: Measures 13.9 cm in length. Cirrhotic morphology and increased hepatic echogenicity without definite focal lesion. Patent portal vein with antegrade flow. BILIARY TRACT: No cholelithiasis. No gallbladder wall thickening, pericholecystic fluid, or biliary ductal dilation. PANCREAS: The pancreas is incompletely imaged due to bowel gas. The imaged portions of the pancreas appear unremarkable. SPLEEN: Measures 10.4 cm in length. Echogenic foci in the spleen are without significant interval change since the prior study.KIDNEY: Again not clearly visualized, likely markedly atrophic and echogenic secondary to chronic kidney disease. Focal increased echogenicity in the right renal fossa described on prior studies is not significantly changed.OTHER: No significant abnormalities noted.
1. Cirrhosis and increased hepatic echogenicity consistent with chronic liver disease, without focal lesion.2. Nonvisualization of the kidneys and increased echogenicity in the right renal fossa likely representing sequela of chronic kidney disease, without significant interval change. Echogenic foci in the spleen also without significant interval change.