History of cirrhosis. Evaluate for HCC. LIVER: The liver parenchyma is diffusely coarsened and echogenic without significant nodularity. It measures 13 cm in length. No focal hepatic lesion or ascites. Normal hepatopedal portal venous blood flow at 19 cm/s.BILIARY TRACT: Normally distended gallbladder without gallstones, wall thickening, pericholecystic fluid or focal tenderness. No biliary ductal dilatation with the common duct measuring 2 mm.PANCREAS: The visualized portions of the pancreatic head and body are unremarkable.SPLEEN: The spleen measures 8.7 cm without a focal lesion.RIGHT KIDNEY: The right kidney measures 10.5 cm in length without hydronephrosis or shadowing nephrolithiasis. Color Doppler demonstrates hilar flow. Simple appearing cyst measuring up to 2.1 cm, not significantly changed.OTHER: The left kidney measures 10.7 cm in length without hydronephrosis, shadowing nephrolithiasis or discrete lesion. Color Doppler demonstrates hilar blood flow.
Diffusely coarsened liver parenchyma consistent with fatty infiltration and/or parenchymal dysfunction without evidence of a focal mass, biliary ductal dilatation or ascites.