Male 70 years old Reason: evaluate for HCC History: 70 M with hx of hep b, increased echogenicity on previous U/S LIVER: Hepatic parenchymal echogenicity is increased and coarsened. No focal hepatic lesions. Hepatic length measures 14.7 cm. Main portal vein is patent with hepatopedal flow and in peak velocity of 21 cm/s.BILIARY TRACT: The gallbladder is normal in appearance with a thin wall measuring 2 mm. Common bile duct is 2 mm. No cholelithiasis. No intrahepatic biliary ductal dilatation.PANCREAS: Pancreas is secured by bowel gas.SPLEEN: Spleen is normal in appearance measuring 10.3 cm.KIDNEYS: Normal cortical medullary differentiation. No hydronephrosis, shadowing calculi, or mass. Right kidney measures 11.2 cm. Left kidney measures 12.9 cm is. There is a anechoic unchanged left upper pole renal cyst measuring 3.3 x 2.6 x 2.6 cm. OTHER: No ascites.
1.Increased hepatic parenchymal echogenicity and coarsened echotexture compatible with hepatic parenchymal dysfunction, possibly related to patient's hepatitis B. No focal hepatic mass or ductal dilatation. 2.Stable left renal cyst.