45 year old male patient with cirrhosis. Screening HCC. LIVER: The liver measures 16.8 cm in length and demonstrates coarsened hepatic echotexture. The liver contour is nodular. No focal hepatic lesion is identified. Main portal vein flow is hepatopetal and measures 0.4 m/sec.GALLBLADDER, BILIARY TRACT: There are no gallstones, gallbladder wall thickening, or pericholecystic fluid. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 4 mm in diameter.PANCREAS: The head and body of the pancreas demonstrate normal echogenicity. The tail is obscured by overlying bowel gas.RIGHT KIDNEY: The right kidney measures 12.3 cm in length. No evidence of hydronephrosis. OTHER: The left kidney measures 12.6 cm in length. No evidence of hydronephrosis.The spleen measures 13.3 cm in length.
Findings consistent with chronic liver disease without focal hepatic lesion.