49 years old, Male, Reason: screening into clinical trial History: none LIVER: The liver measures 12.7 cm in length. A nodular morphology of the liver is consistent with cirrhosis. Simple appearing cyst in the right hepatic lobe measures 1.6 x 1.6 x 1.5 cm. No hepatic lesion suspicious for HCC. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.2 m/s.BILIARY TRACT: Patient status post cholecystectomy. Cystic structure in the gallbladder fossa appears similar to prior exam measuring 1.0 x 1.1 x 1.1 cm. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 4 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: No significant abnormalities noted. The spleen is enlarged measuring 15.3 cm in length. RIGHT KIDNEY: Kidney measures 10.5 cm in length. Normal echotexture. No evidence of hydronephrosis or shadowing calculus. Superior pole simple-appearing cyst measures 0.8 x 1.2 x 0.9 cm.LEFT KIDNEY: Kidney measures 13.4 cm in length. Normal echotexture. No hydronephrosis, shadowing calculus or mass.OTHER: Mild amount of ascites is present.
1.Cirrhotic morphology of the liver without any focal lesions to suggest HCC.2.Mild amount of ascites.3.Splenomegaly.