65 years old, Female, Reason: HCV cirrhosis, evaluate for HCC History: HCV cirrhosis LIVER: The liver measures 16.6 cm in length. Coarse nodular liver consistent with cirrhosis. No focal hepatic lesion identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.2 m/s. A nonoccluding thrombus of the main portal vein is identified.BILIARY TRACT: Cholelithiasis and sludge are present within the gallbladder without evidence of gallbladder wall thickening or pericholecystic fluid. The sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 4 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: No significant abnormalities noted. The spleen measures 10.1 cm in length. RIGHT KIDNEY: Kidney measures 11.8 cm in length. Increased echogenicity of the kidneys consistent with medical renal disease. No evidence of hydronephrosis or shadowing calculus.LEFT KIDNEY: Kidney measures 11.0 cm in length. Increased echogenicity of the kidneys consistent with medical renal disease. No evidence of hydronephrosis or shadowing calculus.
1.Coarse nodular liver consistent with cirrhosis without evidence of focal hepatic mass.2.Nonoccluding thrombus of the main portal vein.3.Increased echogenicity of the kidneys, may reflect medical renal disease in the correct clinical context.4.Cholelithiasis and sludge present within the gallbladder without evidence of acute cholecystitis.