55-year-old female with history of hepatitis C, screening for HCC and cirrhosis LIVER: Measures 17.8 in length. Increased hepatic echogenicity without discrete focal lesion. Patent portal vein with antegrade flow. BILIARY TRACT: No cholelithiasis. No gallbladder wall thickening, pericholecystic fluid, or biliary ductal dilation. PANCREAS: The pancreas is incompletely imaged due to bowel gas. The imaged portions of the pancreas appear unremarkable. SPLEEN: Unremarkable in size and echogenicity. KIDNEY: Atrophic kidneys with markedly increased echogenicity. 1.6 cm right superior pole cyst without septation or nodular component. No hydronephrosis, nephrolithiasis, or solid mass. OTHER: No significant abnormalities noted.
1. Increased hepatic echogenicity consistent with chronic liver disease, without discrete focal lesion. 2. Atrophic kidneys with markedly increased echogenicity consistent with medical renal disease.