56 year old male with cirrhosis. Evaluate for HCC. LIVER: Heterogeneous echotexture of the liver measuring 17.1 cm in length. No focal hepatic lesions. Main portal vein is patent with appropriate directional flow; peak velocity measures 0.3 m/sec.GALLBLADDER, BILIARY TRACT: Cholelithiasis. No gallbladder wall thickening. No pericholecystic fluid. Common duct measures 3 mm in caliber. No intra or extrahepatic biliary ductal dilatation.PANCREAS: Pancreas not well seen in its entirety due to overlying bowel gas. RIGHT KIDNEY: Measures 11.9 cm in length. No hydronephrosis or shadowing calculi are noted.OTHER: Left kidney measures 11.2 cm in length. No hydronephrosis or shadowing calculi are noted. Normal echogenicity of the spleen measuring 12.3 cm in length.
1. Heterogeneous echotexture of the liver suggestive of parenchymal dysfunction/fatty infiltration. 2. Cholelithiasis with no evidence of cholecystitis. 