66-year-old male with history of hepatitis C presents for evaluation of possible hepatocellular carcinoma. LIVER:Measures 16.3 cm. Increased echogenicity. No focal mass, intrahepatic biliary dilation, or ascites. Portal vein is patent with hepatopedal flow.GALLBLADDER, BILIARY TRACT: The gallbladder is absent. The common bile duct measures 7.1 cm. The common hepatic duct measures 6.1 cm.PANCREAS: Evaluation the pancreas is limited due to overlying bowel gas.SPLEEN: Measures 10.8 cm without sonographic abnormalities.KIDNEYS: Right kidney measures 10.3 cm. Left kidney measures 11.1 cm. Echogenicity is unremarkable. No shadowing, hydronephrosis, or focal mass. OTHER: Known adrenal mass not well visualized on this study.
Echogenic liver consistent with chronic liver disease/parenchymal dysfunction. No focal mass or ascites.