History of hepatitis C, evaluate for hepatocellular carcinoma. LIVER: The liver measures 18.4 cm in length. Mildly increased parenchymal echogenicity. Focal circumscribed mass within the right hepatic lobe measuring 5.6 x 4.4 x 4.4 cm which demonstrates heterogenous echotexture. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.29 m/s.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common hepatic duct measures 5 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: No significant abnormalities noted. The spleen measures 8.1 cm in length. RIGHT KIDNEY: Kidney measures 11.9 cm in length. Normal cortical echotexture. Focal solid mass in the lower pole measuring 4.2 x 3.9 x 3.9 cm. LEFT KIDNEY: Kidney measures 11.1 cm in length. Normal cortical echotexture. No hydronephrosis.OTHER: No significant abnormalities noted.
1.Mass in the right lobe of the liver which is non-specific but suspicious for neoplasm. 2.Mass in the lower pole of the right kidney which is non-specific but suspicious for neoplasm. Dedicated cross-sectional imaging with contrast is recommended for further characterization of both masses. Ordering provider, PHO, MAI T (#9208) not pageable, so findings were e-mailed to her. Recommendation for follow-up also entered into the follow-up tool.