Male; 61 years old. Reason: HCV please assess for cirrhosis and assess for mass LIVER: The liver is enlarged measuring 18.2 cm in length. The liver surface is smooth, the parenchyma is heterogeneous with a coarse echotexture. No focal hepatic lesion is identified. The main portal vein is patent and demonstrates hepatopetal flow with a peak velocity of 0.35 m/sec.BILIARY TRACT: There is no cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. Gallbladder polyposis measuring up to 4 x 3 x 4 mm. The common bile duct measures 7 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.SPLEEN: The spleen measures 9.6 cm in length.RIGHT KIDNEY: The right kidney measures 9.5 cm in length. The renal parenchyma is echogenic. There is no hydronephrosis or shadowing renal stone. LEFT KIDNEY: The left kidney measures 10.4 cm in length. The renal parenchyma is echogenic. There is no hydronephrosis or shadowing renal stone.
1.Hepatomegaly. Heterogeneous, coarse liver suggestive of hepatic steatosis/parenchymal dysfunction.2.No focal hepatic lesion.3.Gallbladder polyposis.4.Echogenic kidneys suggestive of medical renal disease.