70 years old, Male, Reason: HCC screening History: ETOH cirrhosis LIVER: The liver measures 20 cm in length. Coarse echogenicity of the liver. No definite nodularity to suggest cirrhosis. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.4 m/s.BILIARY TRACT: Cholelithiasis without gallbladder wall thickening or pericholecystic fluid. The sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 4 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: No significant abnormalities noted. The spleen measures 10.1 cm in length. RIGHT KIDNEY: Kidney measures 11.5 cm in length. Normal echotexture. Nohydronephrosis. Anechoic focus in the midpole the right kidney measuring up to 1.2 cm is favored to represent a cyst.LEFT KIDNEY: Kidney measures 11.6 cm in length. Normal echotexture. Nohydronephrosis. Anechoic focus measuring up to 1.6 cm and the left kidney is favored to represent a cyst.OTHER: No significant abnormalities noted.
1.Cholelithiasis without evidence of cholecystitis.2.Coarsened echogenicity of the hepatic parenchyma without nodularity to suggest cirrhosis.