60 years old, Male, Reason: HCV screen for HCC and assess liver contour History: HCV LIVER: The liver measures 15.6 cm in length. There is coarsened echogenicity of the liver. There is a nodular contour of the liver consistent with cirrhosis. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.2 m/s.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. The sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures two mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: No significant abnormalities noted. The spleen measures 10.9 cm in length. RIGHT KIDNEY: Kidney measures 12.9 cm in length. Severe hydronephrosis with thinned cortex may be chronic in etiology. No evidence of shadowing calculus. LEFT KIDNEY: Kidney measures 11.0 cm in length. Normal echotexture. No evidence of hydronephrosis. Anechoic minimally complex cyst with a septation measures 1.9 x 1.8 x 1.5 cm. Another smaller anechoic lesion favored to represent a cyst near the lower pole of the left kidney measures 1.0 x 1.0 x 1.0 cm.OTHER: No significant abnormalities noted.
1.Nodular contour of the liver is consistent with cirrhosis.2.Severe hydronephrosis in the right kidney with thin cortex may be chronic in etiology. No visualized obstructing calculus or mass.