25-year-old male with a history of hepatitis B. Evaluate for evidence of cirrhosis. LIVER: The liver is normal in morphology, echogenicity and size, measuring 18 cm in craniocaudal dimension. No intrahepatic biliary ductal dilatation or focal hepatic lesion is identified. The liver capsule is smooth. Normal hepatopetal portal venous blood flow is present at 17 cm/sec.BILIARY TRACT: Normal common duct caliber at the hilum, measuring 2 mm. Normally distended gallbladder without wall thickening, pericholecystic fluid, focal tenderness or gallstones.PANCREAS: The visualized portions of the pancreatic body and head are unremarkable. The common bile duct at the pancreatic head is normal in caliber, measuring 3 mm.SPLEEN: The spleen is mildly enlarged, measuring 12.7 cm in length.RIGHT KIDNEY: The right kidney measures 11 cm in length without hydronephrosis, shadowing calculus or discrete lesion evident. Color Doppler demonstrates hilar blood flow. OTHER: The left kidney measures 11.7 cm in length without hydronephrosis, shadowing calculus or discrete lesion evident. Color Doppler demonstrates hilar blood flow.
The spleen is top-normal in size which is non-specific. Otherwise, no sonographic evidence of advanced liver disease, as clinically questioned. No focal hepatic lesion.