Male 62 years old Reason: HCC surveillance History: HCV cirrhosis LIVER: Liver measures 18.4 cm in length. Increased echogenicity and coarse echotexture of the liver. No focal hepatic mass. Portal vein is patent with normal direction of flow and velocity of 20 cm/s.BILIARY TRACT: No intra or extra hepatic biliary ductal dilatation. Small amount sludge is present within the gallbladder. No gallbladder wall thickening or pericholecystic fluid.PANCREAS: The visualized portions of the pancreas are normal in appearance. Pancreatic duct measures 1 mm. Nonspecific peripancreatic lymph node measures 0.7 x 1.4 x 2.1 cm.SPLEEN: Spleen is normal in appearance measuring 11.1 cm.KIDNEYS: Normal cortical medullary differentiation. No hydronephrosis, shadowing calculi, or mass. Right kidney measures 10.3 cm. Left kidney measures 11.9 cm. Unchanged scar in the inferior pole of the left kidney. OTHER: No ascites.
Increased echogenicity and coarse echotexture of the liver compatible with diffuse hepatic dysfunction. No hepatic mass.