60-year-old female patient with HCV, cirrhosis. Evaluate for HCC. LIVER: The liver measures 13.3 cm in length. Hepatic parenchymal echogenicity is increased. No focal hepatic lesion is identified. Main portal vein flow is hepatopetal and measures 0.1 m/sec.GALLBLADDER, BILIARY TRACT: There are no gallstones, gallbladder wall thickening, or pericholecystic fluid. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 3 mm in diameter.PANCREAS: The head and body of the pancreas demonstrate normal echogenicity. The tail is obscured by overlying bowel gas.RIGHT KIDNEY: The right kidney measures 9.4 cm in length. No evidence of hydronephrosis. OTHER: The left kidney measures 10.2 cm in length. No evidence of hydronephrosis. There is a 1.5 x 2.1 cm left lower pole renal cyst, previously 2.3 x 2.6 cm.The spleen measures 10.4 cm in length.
1. Increased hepatic parenchymal echogenicity which can be seen with chronic liver disease. No focal hepatic lesion identified.2. Left lower pole renal cyst.