Viral hepatitis C LIMITED ABDOMENLIVER: Cirrhotic morphology. 4.8 x 4 cm hyperechoic mass within the right lobe with indistinct margins. Liver length 21.3 cmBILIARY TRACT: Gallbladder sludge and stones without ductal dilatation.PANCREAS: No significant abnormalities noted.SPLEEN: Spleen length 18.5 cm RIGHT KIDNEY: No significant abnormalities noted. 9.6 cm in lengthOTHER: Left kidney 11.5 cm in length. Moderate ascites.
Cirrhotic morphology with worrisome right lobe hepatic mass highly suspicious for hepatocellular carcinoma. Gallbladder sludge and stones without acute inflammation or ductal dilatation. Moderate splenomegaly with moderate ascites.Extensive collaterals in region of main portal vein suggestive for cavernous transformation. Main portal vein demonstrates reversal of portal venous flow.