62 years old, Male, Reason: cirrhosis History: HCV LIVER: The liver measures 17.8 cm in length. Echogenicity of the liver parenchyma is within normal limits. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.2 m/s. No nodularity to the liver capsule or widening of the fissures to suggest cirrhosis.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. The sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 3 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: The spleen is enlarged measuring 16.8 cm in length. RIGHT KIDNEY: Kidney measures 10.2 cm in length. Normal echotexture. No hydronephrosis, shadowing calculus or mass.LEFT KIDNEY: Kidney measures 10.8 cm in length. Normal echotexture. No hydronephrosis, shadowing calculus or mass.OTHER: No significant abnormalities noted.
1.No definite evidence of cirrhosis. No nodularity or of the liver capsule or widening of the fissures to suggest cirrhosis.2.Splenomegaly is present.3.Liver size is at the upper limits of normal.