Reason: US of liver, evaluate for radiographic evidence of cirrhosis History: hepatitis C LIVER: The liver measures 15.3 cm in length and smooth in contour. The liver demonstrates increased parenchymal echogenicity with coarsened echotexture. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.21 m/s.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 6 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: The spleen is mildly prominent measuring 12.3 cm in length. RIGHT KIDNEY: Kidney measures 10.9 cm in length. Normal cortical echotexture. No hydronephrosis.LEFT KIDNEY: Kidney measures 10.5 cm in length. Normal cortical echotexture. No hydronephrosis.OTHER: No ascites.
Mildly increased hepatic echogenicity suggestive of chronic liver disease without focal lesions identified.