Reason: assess for HCC History: hx of HCV with sustained viral response; cirrhosis. LIVER: The liver measures 17.3 cm in length and is nodular in contour. The liver demonstrates increased parenchymal echogenicity with coarsened echotexture. No focal hepatic lesions or masses are identified, though sensitivity somewhat limited. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.3 m/s.BILIARY TRACT: Gallbladder mildly decompressed which limits evaluation. Possible gallstone. No gallbladder wall thickening or pericholecystic fluid. No intrahepatic biliary ductal dilatation is present. The common bile duct measures 8 mm in diameter, not significantly changed.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: No significant abnormalities noted. The spleen measures 12.5 cm in length. RIGHT KIDNEY: Kidney measures 10.3 cm in length. Increased cortical echogenicity. No hydronephrosis.LEFT KIDNEY: Kidney measures 9.5 cm in length. Increased cortical echogenicity. No hydronephrosis.OTHER: No ascites.
1.Cirrhotic liver morphology without focal masses identified.2.Echogenic kidneys compatible with medical renal disease.3.Possible gallstone without evidence of acute cholecystitis.