Hepatitis B. Evaluate for hepatocellular carcinoma. LIVER: Non-cirrhotic liver morphology. 18.5 cm in length. Slightly increased parenchymal echogenicity. No focal hepatic lesions. Normal portal venous blood flow and direction.GALLBLADDER, BILIARY TRACT: No biliary ductal dilation. Normal appearance of the gallbladderPANCREAS: No sonographic abnormality evident in the visualized pancreatic head and neck. The body and tail are obscured by bowel gas.KIDNEYS: The right kidney is 9.7 cm in length. The left kidney is 12.7 cm in length. No suspicious renal lesions are evident. No hydronephrosis is present.SPLEEN: 15.0 cm in length, without focal lesions evident.OTHER: No significant abnormalities noted.
1. Increased hepatic echogenicity compatible with parenchymal dysfunction, without biliary ductal dilation.2. Mild splenomegaly.