71 year-old female with NASH cirrhosis. Evaluate for HCC. LIVER: Cirrhotic liver morphology measuring 14.0 cm in length. No focal hepatic lesions. Portal vein is patent with appropriate hepatopetal flow; peak velocity measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: Status post cholecystectomy. No intra or extrahepatic biliary ductal dilatation.PANCREAS: Visualized portions of the pancreas are unremarkable.RIGHT KIDNEY: The right kidney is not well assessed however hyperechoic focus again seen in expected region of mid to upper pole measuring 3.3 cm x 3.1 cm x 3.3 cm, not significantly changed. No definite hydronephrosis or shadowing calculi.OTHER: Left kidney is also not well assessed however it appears to be in the expected region. No definite hydronephrosis or shadowing calculi. The spleen measures 9.5 cm in length. Multiple echogenic foci are again seen the largest of which measures 1.5-cm x 1.8 cm x 1.5 cm.
1. Cirrhotic liver morphology with no focal lesion. 2. Hyperechoic foci in the right kidney and spleen are not significantly changed.