59 years old, Female, Reason: Please evaluate for cirrhosis, splenomegaly, ascites or masses History: 59 yo F with hepatitis C, elevated fibrospect. LIVER: The liver measures 16.3 cm in length. Hepatic parenchyma is within normal limits. No nodularity of the liver to suggest cirrhosis. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.2 m/s.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. The sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 5 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: No significant abnormalities noted. The spleen measures 9.3 cm in length. RIGHT KIDNEY: Kidney measures 11.3 cm in length. Normal echotexture. Nohydronephrosis, shadowing calculus or mass.LEFT KIDNEY: Kidney measures 11.1 cm in length. Normal echotexture. Nohydronephrosis, shadowing calculus or mass. In the inferior pole of the left kidney there is a round anechoic structure favored to be a simple cyst. Adjacent to this cyst there is a smaller anechoic structure which also likely represents a cyst.OTHER: No evidence of ascites.
1.No evidence of nodularity or widening of the fissures to suggest cirrhosis.2.Left kidney cysts.