63-year-old male with cirrhosis screening for HCC LIVER:The liver has cirrhotic morphology, with coarse echogenicity. Liver measures 15.7 cm in length. No new worrisome masses are noted. The portal vein is hepatopetal in flow and is patent. Flow within the portal vein is measured at 19.7 cm/s.GALLBLADDER, BILIARY TRACT: The gallbladder is visualized with two subcentimeter stones and very minimal sludge. Sonographic Murphy's sign was negative. The gallbladder wall measures 0.2 cm, this is normal thickness. No evidence of acute cholecystitis. There is one area along the superior wall of the gallbladder that may represent adenomyomatosis vs. stone. The common bile duct measures 0.3 cm which is normal caliber.PANCREAS: No significant abnormality noted.SPLEEN: The spleen measures 11.1 cm in length. No significant abnormality noted.KIDNEYS: The right kidney measures 12.9 cm in length. There are several subcentimeter nonobstructing stones in the right kidney. No worrisome masses or hydronephrosis is seen in the right kidney. The left kidney measures 13.1 cm in length. A nonobstructing stone is seen within the left kidney measuring 0.8 cm x 0.5 cm. No new worrisome masses or hydronephrosis is seen on the left kidney.
1. The liver has cirrhotic morphology, no worrisome masses are noted.2. Several subcentimeter nonobstructing stones are visualized within the kidneys bilaterally.3. Several small subcentimeter stones are seen within the gallbladder, but no evidence of acute cholecystitis.