69-year-old female with history of hepatitis C. Presents for HCC screening. LIVER: The liver capsule is smooth. The liver is normal in morphology and size, measuring 15.6 cm in craniocaudal dimension. There is mild coarsening of the hepatic parenchyma. No intrahepatic biliary ductal dilatation or focal hepatic lesion is identified. There is normal hepatopetal portal venous blood flow at 20 cm/sec.BILIARY TRACT: No extrahepatic biliary ductal dilatation with the common bile duct measuring 3 mm.PANCREAS: The visualized portions of the pancreatic head and body are normal.SPLEEN: The spleen has normal morphology, echogenicity and size, measuring 9.5 cm in length.RIGHT KIDNEY: The right kidney measures 10.2 cm in length without hydronephrosis or shadowing calculus. Note is made of a 2.7-cm peripelvic simple appearing cyst. Color Doppler demonstrates hilar blood flow.OTHER: The left kidney measures 11.2 cm in length without hydronephrosis, shadowing calculus or discrete lesion evident. Color Doppler demonstrates hilar blood flow.
Mildly coarsened liver may represent diffuse parenchymal dysfunction. No discrete hepatic lesion.