Male 63 years old; Reason: Cirrhosis, eval for HCC History: Cirrhosis LIVER: The liver measures 15.3 cm in length. There is coarse increased echogenicity of the liver parenchyma. No focal hepatic lesions. No intrahepatic ductal dilation is seen. The main portal vein is patent with normal hepatopetal flow measured at 20.8 cm/s. GALLBLADDER/BILIARY TRACT: The gallbladder wall measures 2.5 mm. No stones are seen. Redemonstrated gallbladder polyp is visualized measuring 0.6 cm x 0.3 cm x 0.6 cm. No pericholecystic fluid. The common bile duct measures 4.7 mm in diameter. PANCREAS: Portions of the pancreas are obscured by bowel gas with visualized portions normal in appearance.SPLEEN: The spleen measures 7.8 cm and no significant abnormalities are noted.RIGHT KIDNEY: The right kidney measures 10.8 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen.LEFT KIDNEY: The left kidney measures 10.5 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen.
1. Coarse echogenic liver compatible with history of cirrhosis. No new worrisome masses seen.2. Redemonstration of small gallbladder polyp, stable stable in appearance but slightly larger than prior exam.