73 years old, Male, Reason: pt with +HepC Ab but negative RNA viral load. Looking for features of cirrhosis or splenomegaly History: none, just +Hepc Ab LIVER: The liver measures 17.3 cm cm in length. A coarse echogenic liver is consistent with fatty infiltration. No nodularity of the capsule to suggest cirrhosis. 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 no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. The sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 4 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: No significant abnormalities noted. The spleen measures 8.9 cm in length. RIGHT KIDNEY: Kidney measures 10.1 cm in length. Normal echotexture. No hydronephrosis, shadowing calculus or mass.LEFT KIDNEY: Kidney measures 11.2 cm in length. Normal echotexture. No hydronephrosis, shadowing calculus or mass.OTHER: No significant abnormalities noted.
1.Coarse echogenic liver is consistent with fatty infiltration.2.No nodularity or widening of the fissures to suggest cirrhosis.