Male 74 years old; Reason: R/O HCC History: HCV, advanced liver fibrosis LIVER: The liver measures 13.8 cm in length. There is coarse increased echogenicity of the liver parenchyma. No focal hepatic lesions. No intrahepatic ductal dilation is seen. The main portal vein is patent with normal hepatopetal flow measured at 12.1 cm/s. GALLBLADDER/BILIARY TRACT: The gallbladder is hardly visualized due to shadowing from overlying bowel gas. The common bile duct measures 6.0 mm in diameter. PANCREAS: The majority of the pancreas is obscured by bowel gas with visualized portions normal in appearance.SPLEEN: The spleen measures 6.3 cm and no significant abnormalities are noted.RIGHT KIDNEY: The right kidney measures 11.2 cm in length. The cortex possibly has increased echogenicity. No hydronephrosis, stones, or worrisome masses are seen.LEFT KIDNEY: The left kidney measures 9.8 cm in length. The cortex possibly has increased echogenicity. No hydronephrosis, stones, or worrisome masses are seen.
1. The liver has coarse increased echogenicity compatible with fatty infiltration/hepatocellular dysfunction. No worrisome masses or intrahepatic ductal dilation are seen.2. Bilaterally the kidneys may have increased echogenicity which would be compatible with medical renal disease. The exam is partially limited due to overlying bowel gas and the patient's breathing.