68-year-old male patient with hepatitis C. Assess for liver damage and HCC. Limited study secondary to patient body habitus and patient inability to cooperate with examination.LIVER: The liver is partially imaged and inadequately evaluated on this examination. Main portal vein flow is hepatopetal and measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: There is cholelithiasis without significant gallbladder wall thickening or pericholecystic fluid. Comet tail artifact noted within the gallbladder wall is indicative of adenomyomatosis. The common duct measures 4 mm in diameter.PANCREAS: The pancreas is not visualized on this examination.RIGHT KIDNEY: The right kidney measures 10.8 cm in length. No evidence of hydronephrosis. There is a non-obstructing right mid pole renal stone.OTHER: The left kidney measures 11.5 cm in length. No evidence of hydronephrosis.The spleen measures 10.7 cm in length.There is a right pleural effusion. No ascites.
1. Limited evaluation with inadequate evaluation of the liver.2. Cholelithiasis without sonographic evidence of acute cholecystitis. 3. Adenomyomatosis of the gallbladder.4. Non-obstructing subcentimeter right renal stone. 5. Right pleural effusion. 