Reason: HCV cirrhosis, HCC screening History: HCV cirrhosis LIVER: The liver measures 14 cm in length. Mildly coarse, echogenic hepatic parenchyma. No focal mass. The main portal vein is patent with normal directional hepatopetal portal venous blood flow, peak velocity 45.2 cm/s.GALLBLADDER, BILIARY TRACT: No significant abnormalities noted. No cholelithiasis or biliary ductal dilatation. The common bile duct measures 0.1 cm. The gallbladder wall measures 0.2 cm.PANCREAS: Obscured by bowel gas.RIGHT KIDNEY: The right kidney measures 11.0 cm in length. No hydronephrosis or shadowing stones.LEFT KIDNEY: The left kidney measures 10.9 cm in length. No hydronephrosis or shadowing stones.OTHER: The spleen measures 13.4 cm in length, upper limit of normal in size to mildly enlarged. No ascites. Trace right pleural effusion.
1. Mildly coarse echogenic hepatic parenchyma, consistent with hepatic parenchymal dysfunction. No focal mass or other evidence of cirrhosis.2. Splenic size mildly increased.3. Trace right pleural effusion.