Reason: HCC screening History: Hep B LIVER: Echogenic, coarse hepatic parenchyma. The liver measures 11.3 cm in length. Hepatic cyst in the left lobe of the liver measures 1.1 x 0.6 x 1.0 cm, stable. There is no biliary ductal dilatation. The main portal vein is patent with normal directional hepatopedal portal venous flow, peak velocity 16.3 cm/s.GALLBLADDER, BILIARY TRACT: The gallbladder is unremarkable. The gallbladder wall measures 0.2 cm. The common bile duct measures 0.4 cm. There is no biliary ductal dilatation. No shadowing gallstones are seen. There is no pericholecystic fluid.PANCREAS: Not visualized due to overlying bowel gas.RIGHT KIDNEY: The right kidney measures 11.0 cm in length. The left kidney measures 9.2 cm in length. The renal parenchymal echogenicity is unremarkable. There is no hydronephrosis or shadowing stones.OTHER: The spleen measures 8.47 m in length. A loculated fluid collection is seen at the is right lung base, measuring 2.0 x 2.6 x 1.8 cm, likely representing a persistent loculated pleural effusion.
1. No suspicious hepatic lesions identified.2. Persistent loculated fluid collection at the right lung base.3. Echogenic hepatic parenchyma, consistent with chronic liver dysfunction