Male 56 years old; Reason: eval for hcc History: hbc LIVER: The liver measures 15.9 cm in length. There is coarse echogenicity of the liver parenchyma. A 1.0 x 0.6 x 0.5 round well-defined hyperechoic lesion is noted in the liver that was noted on prior examination and appears unchanged and is consistent with a hepatic hemangioma. No intrahepatic ductal dilation is seen. The main portal vein is patent with normal hepatopetal flow measured at 18.4 cm/s. GALLBLADDER/BILIARY TRACT: The gallbladder wall measures 3.2 mm. No stones are seen. No pericholecystic fluid. PANCREAS: Portions of the pancreas are obscured by bowel gas with visualized portions normal in appearance.SPLEEN: The spleen measures 11.9 cm and no significant abnormalities are noted.RIGHT KIDNEY: The right kidney measures 10.4 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen.LEFT KIDNEY: The left kidney measures 11.9 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen.OTHER: No significant abnormality noted.
1. Coarse echogenic liver consistent with liver disease/parenchymal dysfunction. Again seen is a hyperechoic lesion in the liver that appears unchanged c/w a hepatic hemangioma. No ascites.