83-year-old male patient with cirrhosis. Evaluate for HCC. LIVER: The liver measures 15.3 cm in length. No focal hepatic lesion is identified. Hepatic parenchymal echogenicity is coarsened. Main portal vein flow is hepatopetal and measures 0.1 m/sec.GALLBLADDER, BILIARY TRACT: There are no gallstones, gallbladder wall thickening, or pericholecystic fluid. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 6 mm in diameter.PANCREAS: The pancreatic duct is mildly dilated, measuring up to 2 millimeters in diameter, similar to the prior study. The head and body of the pancreas demonstrate normal echogenicity. The tail is obscured by overlying bowel gas.RIGHT KIDNEY: The native right kidney is not visualized secondary to bowel gas.OTHER: The native left kidney is not visualized secondary to bowel gas. The spleen measures 7.3 cm in length.The right iliac fossa transplant kidney measures 13.1 cm in length. No evidence of hydronephrosis.
1. Coarse liver echotexture, compatible with chronic liver disease, without focal hepatic mass.2. Nonspecific chronic mild dilatation of the pancreatic duct.3. No hydronephrosis of the transplant kidney.