78-year-old male with alcoholic cirrhosis, screening for hepatocellular carcinoma. LIVER: Measures 14.7 in length. Cirrhotic liver morphology and increased hepatic echogenicity without discrete focal lesion. Patent portal vein with antegrade flow. BILIARY TRACT: Cholelithiasis and gallbladder wall thickening, most likely due to sequela of chronic liver disease in this setting. No biliary ductal dilation. PANCREAS: The pancreas is incompletely imaged due to bowel gas. The imaged portions of the pancreas appear unremarkable. SPLEEN: Unremarkable in size and echogenicity. KIDNEY: No hydronephrosis, nephrolithiasis, or solid mass. OTHER: Moderate ascites with loculations.
1. Cirrhosis and increased hepatic echogenicity consistent with chronic liver disease, without discrete focal lesion. 2. Moderate ascites with loculations. 