Hepatitis B. Evaluate for hepatocellular carcinoma LIVER: Non-cirrhotic liver morphology. Mildly coarsened parenchymal echogenicity. No focal hepatic lesions. Normal portal venous blood flow and direction.GALLBLADDER, BILIARY TRACT: No biliary ductal dilation. Prominent common bile duct is within normal limits given prior cholecystectomy.PANCREAS: No sonographic abnormality evident in the visualized pancreatic head and neck. The body and tail are obscured by bowel gas.KIDNEYS: The right kidney is 10.5 cm in length, and pelvic in location. The left kidney is 10.9 cm in length. No suspicious renal lesions are evident. No hydronephrosis is present.SPLEEN: 8.4 cm in length, without focal lesions evident.OTHER: No significant abnormalities noted. No ascites is identified in the upper abdomen.
Increased hepatic echogenicity, compatible with parenchymal dysfunction. No evidence of cirrhosis. No suspicious hepatic lesion identified.