Female 57 years old Reason: HCV, eval for Cirrhosis and HCC History: HCV LIVER: No sonographic evidence of liver cirrhosis. No focal hepatic mass. Liver measures 15.7 cm. Main portal vein is patent with normal directional flow measuring 22.0 cm/s.BILIARY TRACT: No intra or extrahepatic biliary ductal dilatation. Common bile duct measures 3 mm. Within the gallbladder wall there is a heterogeneous nodule measuring 1.2 x 0.8 x 0.7 cm, which may represent a small polyp or a focus of adenomyomatosis. No evidence of inflammation. No gallstones.PANCREAS: Head of the pancreas is normal in appearance without pancreatic ductal dilatation. Body and tail of the pancreas are obscured by overlying bowel gas.SPLEEN: Spleen is normal in appearance measuring 10.1 cmKIDNEYS: Normal cortical medullary differentiation. No hydronephrosis, shadowing calculi, or mass. Right kidney measures 10.2 cm. Left kidney measures 11.2 cm.OTHER: No significant abnormalities noted.
1.Within the gallbladder wall there is a heterogeneous focus which may represent a small polyp or a focus of adenomyomatosis; special attention to this focus on future surveillance scans recommended.2.No focal hepatic mass.