Cirrhosis. Evaluate for HCC. LIVER: Cirrhotic liver morphology. 15.8 cm in length. Coarsened parenchymal echogenicity. No focal hepatic lesions. No discernible portal venous blood flow. Enlarged hepatic artery.GALLBLADDER, BILIARY TRACT: No biliary ductal dilation. Cholelithiasis and biliary sludge, without specific evidence of cholecystitis.PANCREAS: 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 12.6 cm in length. The left kidney is 14.1 cm in length. No suspicious renal lesions are evident. No hydronephrosis is seen.SPLEEN: 14.7 cm in length, without focal lesions evident.OTHER: Minimal perihepatic ascites.
1. Cirrhosis without detectable portal venous flow, consistent with thrombosis.2. No suspicious hepatic lesions identified.3. Splenomegaly and minimal ascites.