52-year-old male patient with HCV, cirrhosis. Evaluate for HCC. LIVER: The liver measures 19 cm in length and demonstrates increased, coarsened echogenicity. No focal hepatic lesion is identified. Main portal vein flow is hepatopetal and measures 0.4 m/sec.GALLBLADDER, BILIARY TRACT: The gallbladder is absent. There is no intrahepatic biliary ductal dilatation. The common duct measures 10 mm in diameter.PANCREAS: The head and body of the pancreas demonstrate normal echogenicity. The tail is obscured by overlying bowel gas.RIGHT KIDNEY: The right kidney measures 10.2 cm in length. No evidence of hydronephrosis. OTHER: The left kidney measures 12.7 cm in length. No evidence of hydronephrosis.The spleen measures 19.3 cm in length.
1. Increased, coarsened hepatic echogenicity consistent with chronic liver disease.2. Hepatomegaly without focal lesion.