59-year-old female with noncirrhotic portal hypertension. HCC screening. Evaluate for cirrhosis. LIVER: The liver measures 23.2 cm in craniocaudal diameter, indicating hepatomegaly. Coarse echogenic liver parenchyma without focal lesion or mass. Portal vein with normal hepatopedal flow, peak velocity of 25.1 cm/s.BILIARY TRACT: No intra or extrahepatic biliary ductal dilatation. The common bile duct measures 0.2 cm in diameter. Partially distended gallbladder containing shadowing intraluminal stones and no wall thickening (0.3 cm). Negative sonographic Murphy's sign.PANCREAS: The visualized portion of the pancreas are within normal limits. Limited visualization of the pancreatic body and tail due to overlying bowel gas.SPLEEN: The spleen measures 7 cm in length.RIGHT KIDNEY: The right kidney measures 10.6 cm in length. No hydronephrosis, masses, or shadowing calculi. OTHER: The left kidney measures 11.3 cm in length. No hydronephrosis, masses, or shadowing calculi.
1. Coarse echogenic liver parenchyma, consistent with chronic liver disease or parenchymal dysfunction. No discrete masses.2. Cholelithiasis without sonographic evidence for acute cystitis.