61-year-old female with history of hepatitis C and cirrhosis. Evaluate for HCC. LIVER: The liver is nodular with a coarse echotexture compatible with cirrhosis. No focal hepatic lesion is identified. No intrahepatic biliary ductal dilatation. There is normal hepatopetal portal venous blood flow at 30 cm/sec.GALLBLADDER, BILIARY TRACT: A large gallstone is noted within a normally distended gallbladder. The gallbladder wall measures 3 mm in thickness without focal tenderness or pericholecystic fluid. No extrahepatic biliary ductal dilatation with the common bile duct measuring 3 mm.PANCREAS: The visualized portions of the pancreas are normal.RIGHT KIDNEY: The right kidney measures 9.1 cm in length without hydronephrosis or shadowing nephrolithiasis.OTHER: The left kidney measures 10.6 cm in length without hydronephrosis or shadowing nephrolithiasis. The spleen is normal in size measuring 7 cm.
1. Cirrhosis without a discrete liver lesion or biliary ductal dilatation.2. Cholelithiasis without evidence of acute gallbladder inflammation.