Reason: Cirrhosis History: hx of hepatitis C with high viral load LIVER: The liver measures 20.3 cm in length and is mildly nodular in contour. The liver demonstrates increased parenchymal echogenicity with coarsened echotexture. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.37 m/s.BILIARY TRACT: Gallbladder surgically absent. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 5 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: No significant abnormalities noted. The spleen measures 11.4 cm in length. RIGHT KIDNEY: Kidney measures 10.1 cm in length. Increased cortical echogenicity. No hydronephrosis.LEFT KIDNEY: Kidney measures 10.6 cm in length. Increased cortical echogenicity. No hydronephrosis. Renal cyst measuring up to 2.2 cmOTHER: Trace ascites.
1.Cirrhotic liver without focal lesions identified. Trace ascites.2.Increased renal echogenicity raising possibility of medical renal disease.