Reason: Rule out HCC History: HCV, cirrhosis LIVER: Coarse, echogenic hepatic echotexture. The liver measures 14.3 cm in length. The portal vein is patent with normal directional hepatopedal portal venous blood flow, peak velocity of 18.0 cm/s. No focal masses.GALLBLADDER, BILIARY TRACT: No significant abnormalities noted. The gallbladder wall measures 0.2 cm. The proximal common bile duct measures 0.4 cm and the distal duct measures 0.6 cm. No biliary ductal dilatation or shadowing stones.PANCREAS: Obscured by bowel gas.RIGHT KIDNEY: The right kidney measures 12.5 cm in length. No hydronephrosis, masses, or shadowing calculi.LEFT KIDNEY: The left kidney measures 12.3 cm in length. Non-obstructing 1.0 cm stone in the lower pole of the left kidney. No hydronephrosis or masses.SPLEEN: The spleen measures 14.5 cm in length.OTHER: No ascites.
1. Findings consistent with chronic liver disease, hepatic parenchymal dysfunction, or hepatic steatosis without significant interval change. No focal masses.2. 1.0 cm non-obstructing left lower pole renal calculus.