Female 69 years old Reason: HCC surveillance History: HCV cirrhosis LIVER: The liver is coarse and nodular consistent with history of cirrhosis. No new suspicious focal hepatic mass is identified. Main portal vein is patent with normal directional flow and a peak velocity of 13.7 cm/s. Unchanged septated cyst right hepatic lobe measuring 0.8 x 0.7 x 0.7 cm.BILIARY TRACT: No intra or extra hepatic biliary ductal dilatation. Gallbladder is normal in appearance without gallstones. Common bile duct measures 3 mm.PANCREAS: The visualized portions of the pancreas are unremarkable.SPLEEN: Spleen is enlarged measuring 15.5 cm.KIDNEYS: Normal cortical medullary differentiation. No hydronephrosis, shadowing calculi, or mass. Right kidney measures 10.0 cm. Left kidney measures 10.0 cm. OTHER: No significant abnormalities noted.
Cirrhotic morphology of the liver without suspicious focal hepatic mass. Sequela of portal hypertension including splenomegaly.