86 years old, Male, Reason: 86 yo with cirrhosis please screen for HCC History: none LIVER: The liver has a cirrhotic morphology. No focal hepatic lesions or masses are identified. No significant ascites is present. The liver measures 8.6 cm in length. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.1 m/s.BILIARY TRACT: There is minimal intra-and mild extrahepatic ductal dilatation. There is a stone or sludge in the area of the neck of the gallbladder without gallbladder wall thickening, or pericholecystic fluid. The sonographic Murphy's sign is negative. The common bile duct measures 4 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: 1 cm hypodensity in the spleen is again noted and unchanged since CT dated 6/7/14. The spleen measures 9.5 cm in length. RIGHT KIDNEY: Kidney measures 10.2 cm in length. Normal echotexture. Nohydronephrosis, shadowing calculus or mass.LEFT KIDNEY: Kidney measures 10.7 cm in length. Normal echotexture. Nohydronephrosis, shadowing calculus or mass.OTHER: No significant abnormalities noted.
1.Cirrhotic morphology of the liver without focal hepatic lesion identified.2.Mild intra-and extra hepatic biliary ductal dilatation is present.