Male; 61 years old. Reason: History of hepatitis C. Please evaluate for hepatocellular CA. History: As above LIVER: The liver measures 16.5 cm in length. The liver contour is smooth. The parenchyma is diffusely increased in echogenicity with a coarsened echotexture. No worrisome mass is identified. There is no ascites.The main portal vein is patent with hepatopetal flow and a peak velocity of 0.23 m/sec.BILIARY TRACT: The gallbladder is nondistended. Multiple shadowing stones are seen within the gallbladder. There is no gallbladder wall thickening or pericholecystic fluid. The common duct measures 3 mm in diameter. There is no intrahepatic biliary ductal dilatation.PANCREAS: The pancreas is not well visualized due to overlying bowel gas.SPLEEN: The spleen measures 12.2 cm in length.RIGHT KIDNEY: The right kidney measures 11.7 cm in length. The renal cortex is normal in echogenicity. There is no hydronephrosis, shadowing renal stone, or worrisome mass identified. OTHER: The left kidney measures 10.8 cm in length. The renal cortex is normal in echogenicity. There is no hydronephrosis, shadowing renal stone, or worrisome mass identified.
1.Coarse and echogenic liver compatible with parenchymal dysfunction. No worrisome hepatic lesion.2.Cholelithiasis without ultrasound evidence of cholecystitis.