Female 59 years old Reason: HCC screening History: hep B, cognitive impairment LIVER: Coarse liver echogenicity similar to the prior exam. Liver measures 11.5 cm. No focal hepatic masses. Normal vascular flow in the portal vein with peak velocity of 16.9 cm/s.BILIARY TRACT: Gallbladder wall is upper limits of normal at 0.29 cm which may be seen in setting of liver disease. Common hepatic duct measures 0.3 cm. Common duct measures 3.7 mm.PANCREAS: Pancreas is normal in appearance. Pancreatic tail is obscured by bowel gas.SPLEEN: Spleen measures 7.1 cm in length and is normal and homogeneous echogenicity.RIGHT KIDNEY: Right kidney measures 9.5 cm in length. Mild to moderate hydronephrosis is similar to the prior exam. No shadowing calculi.LEFT KIDNEY: Left kidney measures 9.04 cm in length and demonstrates normal echogenicity. No mass or shadowing calculi. No hydronephrosis.OTHER: No significant abnormalities noted.
1.Fatty infiltration of the liver similar to the prior exam. No suspicious hepatic masses.2.Mild to moderate right hydronephrosis, similar to the prior exam.