Male 60 years old; Reason: HBV carrier on immune spression d/t renal transplant, eval for HCC History: HBV carrier LIVER: The liver measures 18.7 cm in length. There is coarse increased echogenicity of the liver parenchyma. No focal hepatic lesions. No intrahepatic ductal dilation is seen. The main portal vein is patent with normal hepatopetal flow measured at 21.1 cm/s. GALLBLADDER/BILIARY TRACT: The gallbladder wall measures 2.1 mm. No stones are seen. No pericholecystic fluid. The common bile duct measures 3.3 mm in diameter. PANCREAS: Portions of the pancreas are obscured by bowel gas with visualized portions normal in appearance.SPLEEN: The spleen measures 8.6 cm and no significant abnormalities are noted.RIGHT KIDNEY: The right kidney measures 9.0 cm in length and appears atrophic. The cortex has increased echogenicity. No hydronephrosis, stones, or worrisome masses are seen.RIGHT ILIAC FOSSA TRANSPLANT KIDNEY: The transplant kidney measures 11.2 cm in length. No hydronephrosis. No perinephric fluid collections are seen.LEFT KIDNEY: Left kidney was not visualized.
1. There is coarse increased echogenicity of the liver compatible with fatty infiltration/hepatocellular disease. No new focal masses are seen within the liver.2. The transplant kidney the right iliac fossa is visualized without any abnormalities noted. No hydronephrosis or perinephric fluid collections.