Viral hepatitis B LIVER: Mildly coarse liver echotexture. 1.5 x 1.4 x 1.7 cm hypoechoic focus within segment 2 of the left lobe of the liver not appreciated on the prior examination. Well-circumscribed echogenic foci consistent with hemangiomas again noted and unchanged. Liver length 14.1 cm. Limited Doppler interrogation the main portal vein demonstrates a patent main portal vein with normal directional flow.GALLBLADDER, BILIARY TRACT: Stable multiple gallbladder polyps. The largest again measuring 0.4 x 0.6 x 0.4 cm.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. 10.2 cm in lengthOTHER: Left kidney 11.1 cm in length. Spleen 8.6 cm in length. No ascites.
Mildly coarse liver echotexture again noted consistent with chronic liver disease. Segment 2 left lobe hypoechoic lesion not clearly identified on prior examinations. Would recommend dedicated contrast enhanced cross-sectional imaging for further characterization. Benign hemangiomas again noted and unchanged. Stable subcentimeter gallbladder polyps. No ascites.