History of hepatitis C. Evaluate for HCC. LIVER: Demonstrated again is a 1 cm hyperechoic lesion in the right posterior hepatic segment which is unchanged in size and appearance.No new suspicious liver lesion. The liver is normal in echogenicity and size, measuring 13.7 cm in craniocaudal dimension. Normal hepatopedal portal venous blood flow at 30 cm/s.BILIARY TRACT: No intra or extrahepatic biliary ductal dilatation with the common duct measuring 2 mm. Normally distended gallbladder without wall thickening pericholecystic fluid or focal tenderness. No cholelithiasis.PANCREAS: No significant abnormalities noted.SPLEEN: The spleen measures 9.1 cm in length. A small splenule is noted.RIGHT KIDNEY: The right kidney measures 10 cm in length without hydronephrosis, shadowing nephrolithiasis order suspicious lesion. OTHER: The left kidney measures 9.3 cm in length without hydronephrosis or shadowing nephrolithiasis. In the posterior cortex there is a hypoechoic incompletely characterized 2.0 cm hypoechoic lesion seen on 2 contiguous images.
1. Stable 1 cm hyperechoic lesion in the right hepatic lobe.2. 2 cm lesion in the posterior cortex of the left kidney is incompletely characterized. A renal protocol CT is recommended for further characterization.