76-year-old male with chronic HCV and cirrhosis. Screen for HCC. LIVER: The liver measures approximately 16 cm in length. No focal hepatic lesion is identified. Stable findings of a subtle nodular contour and coarse parenchymal echotexture. The main portal vein flow is hepatopedal and measures 21 cm/s.BILIARY TRACT: The common bile duct measures 2.3 mm in diameter. Shadowing gallstones are again noted. No gallbladder wall thickening or pericholecystic fluid.PANCREAS: The head and body of the pancreas demonstrate normal echogenicity. The tail is obscured by overlying bowel gas.SPLEEN: The spleen measures 10.5 cm in length.RIGHT KIDNEY: The right kidney measures 11.4 cm in length. No hydronephrosis. OTHER: The left kidney measures 11.8 cm in length. No hydronephrosis. Stable 1.5 x 1.7 cm cyst of the left mid/lower renal pole.
1. No focal hepatic lesion identified. Stable findings of chronic liver disease.2. Cholelithiasis without sonographic evidence of acute cholecystitis.3. Stable left renal cyst.