Female 62 years old; Reason: screen for HCC History: chronic hepatitis B LIVER: The liver measures 16.5 cm in length. There is increased echogenicity of the liver parenchyma. No focal hepatic lesions. The main portal vein is patent with normal hepatopetal flow measured at 30.0 cm/s. GALLBLADDER/BILIARY TRACT: The gallbladder wall measures 1.8 mm. Numerous echogenic shadowing foci are seen within the gallbladder. No sludge is seen. Negative sonographic Murphy sign. No pericholecystic fluid. The common bile duct measures 6.4 mm in diameter. No intrahepatic ductal dilation is seen.PANCREAS: Portions of the pancreas are obscured by bowel gas with visualized portions normal in appearance.SPLEEN: The spleen measures 7.8 cm and no significant abnormalities are noted.RIGHT KIDNEY: The right kidney measures 11.1 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen.LEFT KIDNEY: The left kidney measures 11.1 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen.
1. The liver has increased echogenicity compatible with fatty infiltration/hepatocellular dysfunction. No worrisome masses are seen.2. Cholelithiasis without evidence of acute cholecystitis.