70 year-old female with autoimmune hepatitis and cirrhosis, evaluate for HCC. LIVER: The liver parenchyma is coarsened and mildly nodular, compatible with cirrhosis. No focal hepatic lesion is evident. It is normal in size, measuring 18 cm in the craniocaudal dimension. There is normal hepatopetal portal venous blood flow with velocity measure 25 cm/sec.GALLBLADDER, BILIARY TRACT: A normally distended gallbladder is present with minimal sludge and mild diffuse wall thickening, but no reported focal tenderness or pericholecystic fluid.No extrahepatic biliary duct dilatation with the common bile duct measuring up to 5 mm at the porta hepatis.PANCREAS: The poorly visualized pancreatic body and head are grossly unremarkable.RIGHT KIDNEY: The right kidney measures 10.1 cm in length without hydronephrosis.OTHER: Note is made of a small echogenic shadowing focus, in the region of the anterior wall of the splenic vein at the level of the pancreatic body head junction, of uncertain clinical significance. The left kidney measures 8 cm in length without hydronephrosis.The poorly visualized spleen measures approximately 8 cm.
1. Cirrhotic liver morphology without definite focal lesion. 2. Gallbladder sludge without specific evidence of acute inflammation.