Reason: Evaluate evidence of liver fibrosis. History: Hep C LIVER: The liver measures 15.8 cm in length. Coarse, echogenic hepatic parenchymal echotexture. Normal morphology with a smooth contour. The portal vein is patent with normal directional hepatopedal flow, peak velocity of 31.2 cm/s. No focal mass.GALLBLADDER, BILIARY TRACT: No significant abnormalities noted. No intraluminal stones or sludge. The common bile duct measures 0.2 cm. The gallbladder wall measures 0.2 cm. No biliary ductal dilatation.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: The right kidney measures 10.4 cm in length. No shadowing stones or hydronephrosis.LEFT KIDNEY: The left kidney measures 11.2 centers in length. No shadowing stones or hydronephrosis.OTHER: The spleen measures 8.7 cm in length. No ascites.
Coarse, echogenic hepatic parenchyma, consistent with parenchymal dysfunction or chronic liver disease. No evidence of cirrhosis or ascites.