Female 61 years old; Reason: eval for signs of cirrhosis, portal HTN History: chronic hep c LIVER: The liver measures 15.6 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 18.6 cm/s. No ascites is seen.GALLBLADDER/BILIARY TRACT: The gallbladder wall measures 1.8 mm. No stones are seen. No pericholecystic fluid. The common bile duct measures 2.8 mm in diameter. PANCREAS: Portions of the pancreas are obscured by bowel gas with visualized portions normal in appearance.SPLEEN: The spleen measures 9.7 cm and no significant abnormalities are noted.RIGHT KIDNEY: The right kidney measures 9.4 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen.LEFT KIDNEY: The left kidney measures 9.2 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen.
The liver has coarse increased echogenicity compatible with fatty infiltration/hepatocellular dysfunction. No new worrisome masses or ascites are seen.