Reason: Screening for hepatocellular carcinoma History: cirrhosis; hx of HCV LIVER: The liver measures 19.35 cm in length and is nodular in contour. The liver demonstrates increased parenchymal echogenicity with coarsened echotexture. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.19 m/s.BILIARY TRACT: Nonmobile, non-shadowing focus along the gallbladder wall likely representing a polyp measuring up to 4 mm, unchanged. No gallbladder wall thickening or pericholecystic fluid. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 5 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: No significant abnormalities noted. The spleen measures 12.3 cm in length. RIGHT KIDNEY: Kidney measures 13.4 cm in length. Normal cortical echotexture. No hydronephrosis.LEFT KIDNEY: Kidney measures 14.9 cm in length. Normal cortical echotexture. No hydronephrosis.OTHER: No ascites.
1.Hepatomegaly and cirrhotic liver morphology without focal hepatic lesions. No ascites.2.4 mm gallbladder polyp is stable.