68-year-old female patient with HCV, cirrhosis. Evaluate for HCC. LIVER: The liver measures 16.1 cm in length and demonstrates increased parenchymal echogenicity. No focal hepatic lesion is identified. Main portal vein flow is hepatopetal and measures 0.3 m/sec.GALLBLADDER, BILIARY TRACT: There are no gallstones, gallbladder wall thickening, or pericholecystic fluid. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 5 mm in diameter.PANCREAS: The head and body of the pancreas demonstrate normal echogenicity. The tail is obscured by overlying bowel gas.RIGHT KIDNEY: The right kidney measures 9.7 cm in length. No evidence of hydronephrosis. OTHER: The left kidney measures 9.1 cm in length. No evidence of hydronephrosis.The spleen measures 9.1 cm in length.
Increased hepatic echogenicity which may be seen with hepatic steatosis/hepatic parenchymal dysfunction. No focal hepatic lesion identified.