30-year-old female with history of hepatitis B. Evaluate for cirrhosis. LIVER:Measures 13.5 cm. Increased, coarse echotexture of the liver. No focal mass, ascites, or intrahepatic dilation. Portal vein is patent with normal hepatopedal flow.GALLBLADDER, BILIARY TRACT: The lumen of the gallbladder is anechoic. The gallbladder wall measures 0.4 cm. No stones or sludge. No pericholecystic fluid. The common hepatic duct measures 0.4 cm.PANCREAS: Evaluation the pancreas is limited due to overlying bowel gas.SPLEEN: Measures 8.3 cm without sonographic abnormalities.KIDNEYS: Right kidney measures 11.0 cm. Left kidney measures 11.0 cm. The cortices have normal echogenicity. No shadowing calculus, hydronephrosis, or focal mass. OTHER: No significant abnormality noted.
1. Increased, coarse echotexture of the liver consistent with chronic liver disease/parenchymal dysfunction. No focal mass. Liver does not have cirrhotic morphology.