History of cirrhosis. Evaluate for HCC. LIVER: Nodular coarsely echogenic liver compatible with cirrhosis. It measures 17.5 cm in length. No discrete lesion is identified. No intrahepatic biliary ductal dilatation. Patent hepatopedal portal venous blood flow at 29 cm/s.BILIARY TRACT: No extrahepatic biliary ductal dilatation with the common duct measuring 1 mm. Normally distended gallbladder without cholelithiasis, gallbladder wall thickening, pericholecystic fluid or focal tenderness.PANCREAS: The visualized portions of the pancreatic head and body are unremarkable. The remainder is obscured by overlying bowel gas shadowing.SPLEEN: The spleen measures 12 cm in length without a focal lesion.RIGHT KIDNEY: The right kidney measures 12.3 cm in length without hydronephrosis, shadowing nephrolithiasis or discrete lesion. Color Doppler demonstrates color blood flow.OTHER: The left kidney measures 11.3 cm in length without hydronephrosis, shadowing nephrolithiasis or discrete lesion. Color Doppler demonstrates color blood flow.
Cirrhosis without a discrete liver lesion.