Female 63 years old Reason: assess for liver lesions History: HCV LIVER: Increased echogenicity of the liver, which is nonspecific but can be seen in the setting of fatty infiltration or diffuse hepatic dysfunction. Unchanged, approximately 1 cm calcification with shadowing most likely representing a granuloma versus scar. No focal hepatic mass. Portal vein is patent with normal directional flow.BILIARY TRACT: No intra or extrahepatic biliary ductal dilatation. Common bile duct measures up to 6 mm. No evidence of acute inflammation of the gallbladder. No gallstones are identified. Ringdown artifact of the gallbladder wall suggests adenomyomatosis.PANCREAS: Pancreas is not well-visualized secondary to overlying bowel gas.SPLEEN: Spleen is normal in appearance measuring 8.5 cm.KIDNEYS: Normal cortical medullary differentiation. No hydronephrosis, shadowing calculi, or mass. Left kidney measures 9.0 cm. Right kidney measures 10.5 cm.OTHER: No significant abnormalities noted.
No focal hepatic mass. Increased echogenicity of the liver is nonspecific but can be seen in the setting of fatty infiltration of diffuse hepatic dysfunction.