Female 72 years old; Reason: r/o hcc History: hcv, cirrhosis LIVER: The liver measures 17.8 cm in length. There is coarse increased echogenicity of the liver parenchyma. No focal hepatic lesions. No intrahepatic ductal dilation is seen. The main portal vein is patent with normal hepatopetal flow measured at 29.7 cm/s. GALLBLADDER/BILIARY TRACT: The gallbladder wall measures 1.5 mm. A single shadowing echogenic foci is seen within the gallbladder measuring 1.1 cm x 0.7 cm. No pericholecystic fluid. Negative sonographic Murphy sign. The common bile duct measures 2.7 mm in diameter. PANCREAS: Portions of the pancreas are obscured by bowel gas with visualized portions normal in appearance.SPLEEN: The spleen measures 13.0 cm and no significant abnormalities are noted.RIGHT KIDNEY: The right kidney measures 11.3 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen.LEFT KIDNEY: The left kidney measures 13.2 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen.
1. Mild hepatomegaly. The liver has coarse increased echogenicity compatible with fatty infiltration/hepatocellular dysfunction. No masses or ascites are seen.2. Cholelithiasis without evidence of acute cholecystitis.