65-year-old female with history of hepatitis C virus cirrhosis. Evaluate for mass or ascites. LIVER: Liver is coarsely echogenic with a cirrhotic morphology. Focal, coarse calcifications again noted within the liver. Addition, complex cyst in the left lobe of the liver measures 1.6 x 2 x 2 cm. Right lobe hepatic cyst measures 2.6 x 3.9 x 4.1 cm. There is a less well-defined rounded, hypoechoic subcapsular nodule in the right lobe measuring 1 x 1 x 1.2 cm. This does have some evidence of cystic characteristics. This was not visualized with certainty on the prior exam. Previously noted vague nodular density not seen on today's study.BILIARY TRACT: Poorly tract is normal in caliber. The gallbladder may contain a small, nonshadowing polyp. In addition, there is some focal increased echogenicity in the region of the fundus. Given lack of stones or other fundal abnormality and prior studies, this may represent an adjacent hepatic calcification. There is not gross wall thickening or pericholecystic fluid.PANCREAS: The head and and body are normal. The tail was not well seen.SPLEEN: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. OTHER: No ascites.
Cirrhotic liver with heterogeneous echotexture. No change in cysts within the liver or calcifications. Vague, subcapsular nodule may represent a complex cyst although difficult to assess in a liver that is this heterogeneous. Patient has had multiple cysts on prior MR exam as well as other noncystic nodules.Gallbladder polyp. See above.