Reason: to rule out hcc per protocol LIVER: The liver measures 16.5 cm in length. Coarse, heterogeneous hepatic echotexture. No focal lesions or masses. The portal vein is patent with normal directional hepatopedal portal venous blood flow, peak velocity is 16.7 cm/s.GALLBLADDER, BILIARY TRACT: No significant abnormalities noted. The gallbladder wall measures 0.1 cm. The common bile duct measures 0.3 cm. No biliary ductal dilatation.PANCREAS: Obscured by bowel gas.RIGHT KIDNEY: The right kidney measures 11.1 cm in length. No hydronephrosis, masses, or shadowing stones.LEFT KIDNEY: The left kidney measures 11.6 cm in length. No hydronephrosis, masses, or shadowing stones.OTHER: No ascites. The spleen measures 12.0 cm in length.
Coarse, heterogeneous hepatic echotexture, consistent with chronic liver disease or parenchymal dysfunction. No focal masses.