Male; 50 years old. Reason: hep C eval for lesions History: hep c LIVER: The liver measures 18.0 cm in length. The liver contour is smooth, the parenchyma is diffusely increased in echogenicity and coarsened in echotexture is which limits the identification of focal lesions. Within this limitation, no suspicious lesion is identified. Within the right lobe near the capsule is a 4 x 4 x 5 mm hypoechoic lesion with posterior acoustic enhancement and a single thin septation.The portal vein is patent and demonstrates hepatopetal flow with a peak velocity of 0.3 m/sec.BILIARY TRACT: Multiple shadowing gallstones are seen within the gallbladder. There is no gallbladder wall thickening or pericholecystic fluid. The common duct measures 3 mm in diameter. There is no intrahepatic biliary ductal dilatation.PANCREAS: Head and body of the pancreas are unremarkable. The tail is obscured by overlying bowel gas.SPLEEN: The spleen measures 10.0 cm in length.KIDNEYS: The right kidney measures 11.1 cm in length, the left kidney measures 11.4 cm in length. The renal cortex is normal in echogenicity bilaterally. There is no hydronephrosis or shadowing renal stone. OTHER: No significant abnormalities noted.
1.Hepatomegaly and echogenic, coarse liver compatible with hepatic steatosis/parenchymal dysfunction.2.5-mm hypoechoic right liver lesion is too small to accurately characterize but likely represents a minimally complex cyst.3.Cholelithiasis. No evidence obstruction or cholecystitis.