Male 61 years old; Reason: history of NASH, reassess liver, surveillance for HCC History: none LIVER: The liver measures 16 cm in length. There is irregular in course echogenicity of the liver parenchyma. There is a nodular contour to the liver. No intrahepatic ductal dilation is seen. The main portal vein is patent with normal hepatopetal flow. No ascites or masses seen.GALLBLADDER/BILIARY TRACT: The gallbladder wall measures 3 mm. No stones are seen. No pericholecystic fluid. The common bile duct measures 5.6 mm in diameter. PANCREAS: Portions of the pancreas are obscured by bowel gas with visualized portions normal in appearance.SPLEEN: The spleen measures 9 cm and no significant abnormalities are noted.RIGHT KIDNEY: The right kidney measures 12.1 cm in length. The cortex has increased echogenicity. No hydronephrosis, stones, or worrisome masses are seen.LEFT KIDNEY: The left kidney measures 10.7 cm in length. The cortex has increased echogenicity. No hydronephrosis, stones. There is a 1.8 x 1.9 cm hyperechoic round circular mass seen in left kidney.OTHER: No significant abnormality noted.
1. Liver echotexture consistent with history of cirrhosis. No ascites or liver masses.2. Left kidney lesion concerning for renal cell carcinoma. Per patient, aware of lesion with plans for partial nephrectomy in the near future.