Reason: NASH cirrhosis evaluate for HCC History: cirrhosis LIVER: The liver measures 12.1 cm in length. Coarse liver echotexture is redemonstrated. Anechoic focus in the right hepatic lobe is again seen measuring, 1.1 x 1.1 x 1.1 cm, previously 0.8 x 0.7 x 0.7 cm. No new suspicious masses. The portal vein is patent with normal hepatopedal portal venous blood flow, maximum flow rate 23.1 cm/s.GALLBLADDER, BILIARY TRACT: No significant abnormalities noted. No intrahepatic or extrahepatic biliary ductal dilatation. The gallbladder wall measures 0.1 cm. The common hepatic duct measures 0.3 cm. Negative sonographic Murphy sign.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: The right kidney measures 8.7 cm in length. No hydronephrosis.LEFT KIDNEY: The left kidney measures 8.1 cm in length. No hydronephrosis.OTHER: No ascites.
1. Persistent coarse liver echotexture, consistent with hepatic parenchymal dysfunction, hepatic steatosis, or chronic liver disease.2. Stable right hepatic cyst. No new masses.