Reason: of liver hbv, screen for hepatocellular carcinoma LIVER: The liver measures 15.3 cm in length. The liver parenchymal echotexture is coarse. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.23 m/s.BILIARY TRACT: Several shadowing gallstones without associated gallbladder wall thickening or pericholecystic fluid. The sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 3 mm in diameter.PANCREAS: Oval hypoechoic structure adjacent to the pancreas measuring up to 1.2 cm most likely represents peripancreatic lymph node.SPLEEN: Not well visualized.RIGHT KIDNEY: Kidney measures 10.0 cm in length. Normal echotexture. No hydronephrosis, shadowing calculus or mass.LEFT KIDNEY: Kidney measures 11.6 cm in length. Normal echotexture. No hydronephrosis, shadowing calculus or mass.OTHER: No significant abnormalities noted.
1.Course hepatic echotexture compatible with chronic liver disease without focal mass. 2.Cholelithiasis without evidence of cholecystitis.