History of hepatitis C. Evaluate for HCC. LIVER: The liver measures 14 cm in length. It is mildly coarse in echotexture. No focal lesion. No intrahepatic biliary ductal dilatation. Normal hepatopedal portal venous blood flow at 0.2 cm/s.BILIARY TRACT: The gallbladder is normally distended. It contains an echogenic shadowing focus compatible with a small gallstone. The common duct measures 9 mm without choledocholithiasis.PANCREAS: The visualized portions of the pancreatic head and body are unremarkable.SPLEEN: The spleen measures 9.9 cm in length.RIGHT KIDNEY: The right kidney measures 10.1 cm in length without hydronephrosis, shadowing nephrolithiasis or discrete lesion. OTHER: The left kidney measures 10.8 cm in length without hydronephrosis, shadowing nephrolithiasis or discrete lesion.
1. Mildly coarse hepatic echotexture without a discrete lesion.2. Cholelithiasis without cholecystitis. Mild prominence of the common bile duct; correlate with LFTs.