Hepatic fibrosis. Evaluate for hepatocellular carcinoma. LIVER: Non-cirrhotic liver morphology. Unremarkable parenchymal echogenicity. 13 cm in length. No focal hepatic lesions. Normal portal venous blood flow and direction.GALLBLADDER, BILIARY TRACT: No biliary ductal dilation. Cholelithiasis and biliary sludge noted in the gallbladder. No gallbladder wall thickening, pericholecystic fluid, or sonographic Murphy's sign elicited.PANCREAS: No sonographic abnormality evident in the visualized pancreatic head and neck. The body and tail are obscured by bowel gas.KIDNEYS: The right kidney is 10.6 cm in length. The left kidney is 9.6 cm in length. The previously seen left hepatic cyst is not evident on the current exam, possibly due to technical factors. No suspicious renal lesions are evident. No hydronephrosis is present.SPLEEN: 8.5 cm in length, without focal lesions evident. Splenule noted.OTHER: No significant abnormalities noted. No ascites.
Cholelithiasis without specific evidence of cholecystitis. No suspicious hepatic lesion identified.