82 year-old female with HBV, evaluate for HCC. LIVER: Coarse echotexture and nodular contour of the liver measuring 13.5 cm in length. No focal hepatic lesions. Main portal vein is patent with appropriate directional flow; peak velocity measures 0.4 m/sec.GALLBLADDER, BILIARY TRACT: Normal echogenicity of the gallbladder. No gallbladder wall thickening. No pericholecystic fluid. Sonographic Murphy's sign is negative. Common duct measures 6 mm in caliber. No intra-or extrahepatic biliary duct dilatation.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: Measures 6.6 cm in length and is increased in echogenicity. No hydronephrosis or shadowing calculi are noted. OTHER: Left kidney measures 8.5 cm in length and is increased in echogenicity. Multiple cysts are noted, one of which measures 1.3 cm x 1.0 cm x 0.7 cm. No hydronephrosis or shadowing calculi are noted. Normal echogenicity of the spleen measuring 7.9 cm in length.Small amount of perihepatic fluid and in Morrison's pouch.
1. Cirrhotic liver morphology with no focal hepatic lesions.2. Small amount of perihepatic fluid and in Morrison's pouch. 3. Increased echogenicity of the kidneys suggestive of or obstruction. Left renal cysts.