Reason: HCV, evaluate for HCC. LIVER: The liver measures 13.9 cm in length and demonstrates a nodular contour. The liver parenchymal echotexture is coarse. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.29 m/s.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 3.2 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: No significant abnormalities noted. The spleen measures 10.4 cm in length. RIGHT KIDNEY: Kidney measures 10.1 cm in length. Normal echotexture. No hydronephrosis, shadowing calculus or massLEFT KIDNEY: Kidney measures 11.6 cm in length. Normal echotexture. There is a questionable solid mass in the mid to lower pole of the left kidney.OTHER: No significant abnormalities noted.
1.Cirrhotic liver morphology without focal lesions identified.2.Questionable mass in the left kidney; dedicated contrast-enhanced cross-sectional imaging is recommended for further evaluation. Recommendation entered into the Follow-Up Tool. 