59-year-old female patient with hepatitis B. HCC screening. LIVER: The liver measures 12.8 cm in length and coarsened in echotexture. No focal hepatic lesion is identified. Main portal vein flow is hepatopetal and measures 0.1 m/sec.GALLBLADDER, BILIARY TRACT: There are no gallstones, gallbladder wall thickening, or pericholecystic fluid. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 2 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 10.9 cm in length. No evidence of hydronephrosis. OTHER: The left kidney measures 11.7 cm in length. No evidence of hydronephrosis.The spleen measures 8.6 cm in length.
Coarsened hepatic echotexture which can be seen with hepatic parenchymal dysfunction, but no focal hepatic lesion identified. 