History of hepatitis C. Presents for HCC screening. LIVER: Diffusely coarse and mildly echogenic liver parenchymal echotexture compatible with chronic liver disease. The capsule is relatively smooth. The liver measures 13 cm in craniocaudal dimension.Noted again is a 7 mm mildly hyperechoic lesion adjacent to a hepatic vein, unchanged from prior ultrasound. Stable echogenic shadowing 4 mm probable calcified granuloma in the right lobe of the liver.Normal hepatopedal portal venous blood flow at 18 cm/second. BILIARY TRACT: Normally distended gallbladder without gallstones, wall thickening, pericholecystic fluid or focal tenderness. The common bile duct measures 5 mm.PANCREAS: The visualized portions of the pancreatic head and body are unremarkable. The remainder is obscured by overlying bowel gas shadowing.SPLEEN: The spleen measures 9 cm without a focal lesion.RIGHT KIDNEY: The right kidney measures 9.3 cm in length without hydronephrosis, shadowing nephrolithiasis or discrete lesion. Color Doppler demonstrates hilar blood flow. OTHER: The left kidney measures 8.7 cm in length without hydronephrosis, shadowing nephrolithiasis or discrete lesion. Color Doppler demonstrates hilar blood flow.
1. Stable examination from prior ultrasound including the stable 7 mm mildly hyperechoic lesion adjacent to the hepatic vein which was not visualized on intervening MRI. 2. Findings compatible with chronic liver disease.