History of hepatitis B, screen for hepatocellular carcinoma. LIVER: The liver measures 13.0 cm in length. There is mildly coarse echotexture of the liver parenchyma. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.2 m/s.BILIARY TRACT: There is a comet artifact arising from the gallbladder wall consistent with adenomyomatosis. There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 3 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: No significant abnormalities noted. The spleen measures 9.3 cm in length. RIGHT KIDNEY: Kidney measures 9.9 cm in length. The parenchyma is slightly echogenic. No hydronephrosis. Stable echogenic focus in the upper pole measuring 0.7 x 0.6 x 0.4 cm. LEFT KIDNEY: Kidney measures 10.1 cm in length. The parenchyma is slightly echogenic. No hydronephrosis, shadowing calculus or mass.OTHER: No significant abnormalities noted.
1.Mildly coarse echotexture of the liver. No focal masses or ascites is present.2.Mildly echogenic renal parenchyma bilaterally consistent with medical renal disease.3.Adenomyomatosis/cholesterolosis of the gallbladder. 