70-year-old female with cirrhosis, HCC screening LIVER: Coarse echogenicity of the liver measuring 13.0 cm in length. No focal hepatic lesions. Portal vein is patent with appropriate directional flow; peak velocity measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: Shadowing stones within the gallbladder which is not well distended limiting evaluation for wall thickening. No pericholecystic fluid. Sonographic Murphy's sign is negative. Common duct measures 5 mm in caliber. No intra-or extrahepatic biliary ductal dilatation.PANCREAS: Distal body and tail are obscured by overlying bowel gas. Remaining portions of the visualized pancreas unremarkable.RIGHT KIDNEY: Measures 9.8 cm in length. No hydronephrosis or shadowing calculi noted.OTHER: Normal echogenicity of the spleen measuring 11.8 cm in length.Left kidney measures 10.3 cm in length. No hydronephrosis or shadowing calculi noted.
1. Coarse echogenicity of the liver suggestive of parenchymal dysfunction/fatty infiltration. No focal hepatic lesions. 2. Cholelithiasis with no definite evidence of cholecystitis.