60 year-old female with history of hepatitis C. Presents for HCC screening. LIVER: Liver is mildly coarsened in echotexture. It is normal in size, measuring 15.2 cm in craniocaudal dimension. No focal hepatic lesion or intrahepatic biliary ductal dilatation. Normal hepatopetal portal venous blood flow at 18 cm/sec.GALLBLADDER, BILIARY TRACT: No extrahepatic biliary ductal dilatation with the common duct measuring 4 mm. Status post cholecystectomy. PANCREAS: Visualized portions of the pancreatic head and body are unremarkable.RIGHT KIDNEY: The right kidney measures 8.7 cm in length with minimal pelviectasis. No focal lesion or shadowing nephrolithiasis.OTHER: The spleen is normal in size, measuring 10 cm. The left kidney is normal in size, measuring 11.2 cm without hydronephrosis or shadowing nephrolithiasis. There is a 2.6 cm inferior pole simple appearing cyst.
Coarse hepatic echotexture, without discrete lesion or biliary ductal dilatation.