Female; 67 years old. Reason: usg of liver, cirrhosis, screen for hcc, also f/u GB polyps LIVER: Liver is normal in size measuring 15.1 cm in length. Parenchyma diffusely echogenic with a coarse echotexture. A 1.1 x 1.2 x 1.1 cm simple cyst is seen in the right lobe of the liver, unchanged. No worrisome focal hepatic lesion evident. There is no ascites. The main portal vein is patent with normal hepatopetal flow and a peak velocity of 0.1 m/sec.GALLBLADDER, BILIARY TRACT: The gallbladder is normal in appearance with a 5 x 4 x 1 mm gallbladder polyp, without significant change. No evidence of cholelithiasis, gallbladder wall thickening or pericholecystic fluid. The common bile duct measures 3 mm in diameter. There is no intrahepatic biliary ductal dilatation.PANCREAS: The head and body of the pancreas are unremarkable. The tail is obscured by overlying bowel gas.RIGHT KIDNEY: The right kidney measures 12.0 cm in length. The renal cortex is echogenic. No evidence of hydronephrosis or hydroureter. No shadowing caliculi evident.LEFT KIDNEY: The left kidney measures 11.2 cm in length. The renal cortex is echogenic. No evidence of hydronephrosis or hydroureter. No shadowing caliculi evident.SPLEEN: The spleen measures 8.9 cm in length.
1.Cirrhotic liver, no worrisome hepatic mass.2.Gallbladder polyp.3.Echogenic kidneys suggestive of medical renal disease.