Female 64 years old Reason: r/o HCC History: cirrhosis, HCV LIMITED ABDOMENLIVER: The liver measures 20.1 cm in length. Echogenic parenchyma with nodular contour. No suspicious hepatic lesions. Left hepatic lobe lesion with mixed color flow compatible with intrahepatic portosystemic shunt. Liver cyst measures 1.1 cm The portal vein is patent with normal directional flow. BILIARY TRACT: No intrahepatic biliary ductal dilation. The common bile duct measures 5 mm in diameter. Status post cholecystectomy.PANCREAS: No significant abnormality noted.KIDNEYS: The right kidney measures 11.2 cm. The left kidney measures 12.2 cm. There is a 1.2 cm nonobstructive stone in the left kidney. No evidence of hydronephrosis or mass.SPLEEN: The spleen measures 11.8 cm in length. OTHER: No significant abnormalities noted.
1.Cirrhosis without suspicious focal lesion to suggest HCC.2.Left hepatic lobe portosystemic shunt is unchanged.3.Nonobstructive left renal pelvis stone.