60-year-old male patient with HCV cirrhosis. Evaluate for HCC. LIVER: The liver is echogenic, nodular in contour, and measures 14.2 cm in length. No focal hepatic lesion is identified. Main portal vein flow is hepatopetal and measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: The gallbladder contains sludge. There is no pericholecystic fluid. Minimal non-specific gallbladder wall thickening is noted. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 5 mm in diameter.PANCREAS: The head of the pancreas demonstrates normal echogenicity. The body and tail is obscured by overlying bowel gas.RIGHT KIDNEY: The right kidney measures 13.1 cm in length. No evidence of hydronephrosis. OTHER: The left kidney measures 13.2 cm in length. No evidence of hydronephrosis.The spleen measures 14.1 cm in length.
1. Cirrhotic morphology of the liver without focal hepatic lesion.2. Biliary sludge. 