Reason: 69 yo with cirrhosis please screen for HCC LIVER: The liver measures 15.5 cm in length and is nodular in contour. The liver parenchymal echotexture demonstrates increased echogenicity. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.1 m/s. Recanalized umbilical vein.BILIARY TRACT: Gallbladder wall thickening is nonspecific but likely represents the sequela of chronic liver disease. Single 1 mm adherent stone versus tiny polyp. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common hepatic duct measures 4 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: Spleen is enlarged measuring 20.8 cm in length. Small splenule.RIGHT KIDNEY: Kidney measures 9.7 cm in length. Normal cortical echotexture. No hydronephrosis.LEFT KIDNEY: Kidney measures 9.9 cm in length. Normal cortical echotexture. No hydronephrosis.OTHER: Large volume ascites, particularly in the pelvis.
1.Cirrhotic liver morphology and increased hepatic echogenicity consistent with chronic liver disease, without discrete lesion.2.Sequelae of portal hypertension including splenomegaly and ascites.3.Gallbladder wall thickening nonspecific but likely related to chronic liver disease.