Reason: eval for HCC lesions; eval for cirrhosis; eval for clot in portal vein or hepatic vein or IVC; hx Hep C multiple hypodensities seen on ct in left kidney LIMITED ABDOMENLIVER: The liver measures 14.1 cm in length. Mildly coarse, echogenic hepatic parenchyma. Questionable mild nodularity of the hepatic contour. No focal masses.BILIARY TRACT: No significant abnormalities noted. No biliary ductal dilatation. The gallbladder wall measures 0.2 cm. The common bile duct measures 0.4 cm.PANCREAS: Not visualized.SPLEEN: There is an anechoic lesion in the mid pole of the spleen representing a simple cyst. The spleen measures 7.5 cm in length. RIGHT KIDNEY: The right kidney measures 5.0 cm in length. Echogenic renal parenchyma. Several anechoic cystic lesions are noted in the upper and mid poles. No hydronephrosis or shadowing stones.LEFT KIDNEY: The left kidney measures 7.3 cm in length. Echogenic renal parenchyma Large multicystic lesion in the mid pole of the left kidney with multiple thin septations measures approximately 3.1 x 2.3 x 2.4 cm. No hydronephrosis or shadowing stones.OTHER: No ascites.
1. Mildly echogenic liver, consistent with hepatic parenchymal dysfunction or chronic liver disease.2. Patent hepatic vasculature with normal directional flow as described above.3. Echogenic renal parenchyma, consistent with advanced medical renal disease.