66-year-old male patient with HCV, cirrhosis. Evaluate for HCC. LIVER: The liver measures 17.9 in length and demonstrates increased parenchymal echogenicity. No focal hepatic lesion is identified. Main portal vein flow is hepatopetal and measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: The gallbladder is filled with shadowing stones without significant gallbladder wall thickening or pericholecystic fluid. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 3 mm in diameter.PANCREAS: The head and body of the pancreas demonstrate normal echogenicity. The tail is obscured by overlying bowel gas.RIGHT KIDNEY: The right kidney measures 11.8 cm in length. No evidence of hydronephrosis. OTHER: The left kidney measures 11 cm in length. No evidence of hydronephrosis.The spleen measures 11.5 cm in length.
1. Increased hepatic echogenicity which can be seen with hepatic steatosis/hepatic parenchymal dysfunction. No focal hepatic lesion identified.2. Cholelithiasis without sonographic evidence of acute cholecystitis.