Reason: hep b, screen for hcc LIVER: The liver measures 19.1 cm in length, enlarged. Coarsened, echogenic hepatic parenchyma. The main portal vein is patent with normal directional hepatopedal flow, peak velocity 29.5 m/s. No focal masses.GALLBLADDER, BILIARY TRACT: The gallbladder is contracted, limiting its evaluation. The gallbladder wall measures 0.2 cm. The common bile duct measures 0.4 cm. No definite biliary ductal dilatation.PANCREAS: No significant abnormalities noted.KIDNEYS: The right kidney measures 10.5 cm in length. Left renal upper pole cyst measures 1.8 x 1.5 x 1.6 cm, similar to prior. The left kidney measures 10.9 cm in length. No hydronephrosis or shadowing stones.OTHER: No ascites. The spleen measures 12.5 cm in length, upper limits of normal in size.
Hepatomegaly and coarse hepatic parenchyma, consistent with chronic liver disease or hepatic dysfunction. No evidence of cirrhosis, ascites, or focal mass.