Female; 67 years old. Reason: cirrhosis eval for HCC History: cirrhosis LIVER: The liver measures 5.5 cm in length. The liver parenchyma nodular and echogenic with a coarse echotexture. No suspicious lesion is identified. There is a small amount of ascites. The portal vein is patent and demonstrates a normal direction of flow with a peak velocity of 30 cm/sec.BILIARY TRACT: The gallbladder is not distended. There is no cholelithiasis, gallbladder wall thickening or pericholecystic fluid. The common bile duct measures 4 mm. There is no intrahepatic biliary ductal dilatation.PANCREAS: The pancreas is obscured by overlying bowel gas.SPLEEN: The spleen measures 20.2 cm in length.RIGHT KIDNEY: The right kidney measures 9.5 cm in length. The renal cortex demonstrates normal echogenicity. There is no hydronephrosis. OTHER: Left kidney measures 12.5 cm in length. There is no hydronephrosis.
1.Cirrhotic liver morphology without focal hepatic lesion. Small amount of ascites.2.Splenomegaly.