48-year-old male with hepatitis B. LIVER:Cirrhotic liver morphology. A 1.2 x 1.1 x 0.9 cm hypoechoic nodule along the left liver capsule is new since the prior study. Patent portal vein.GALLBLADDER, BILIARY TRACT: 0.5 cm echogenic focus along the gallbladder wall may represent a small stone or polyp.PANCREAS: No significant abnormality noted.SPLEEN: Splenomegaly. The spleen measures 12.3 cm in length.KIDNEYS: No significant abnormality noted. OTHER: No significant abnormality noted.
New 1.2 cm hypoechoic hepatic nodule on a background of cirrhosis is suspicious for malignancy. Cross-sectional imaging is recommended for further evaluation.