Hepatitis C. Evaluate for HCC. History of cholecystectomy in October 2015. LIVER: 14.8 cm in length. Cirrhotic liver morphology with nodular contours and coarsened parenchymal echogenicity. Moderate perihepatic ascites. No focal hepatic lesions. Patent portal vein with hepatopetal blood flow measuring 15 cm/s.GALLBLADDER, BILIARY TRACT: No biliary ductal dilation. Status post cholecystectomy. A 4 cm fluid collection with debris is noted in the gallbladder fossa.PANCREAS: No sonographic abnormality evident in the visualized pancreatic head and neck. The body and tail are obscured by bowel gas.KIDNEYS: The right kidney is 11 cm in length. The left kidney is 11 cm in length. No suspicious renal lesions are evident. No hydronephrosis is seen.SPLEEN: 12.1 cm in length, without focal lesions evident.
1. Cirrhotic liver morphology with moderate ascites. No suspicious hepatic lesions.2. 4 cm fluid collection in the gallbladder fossa, likely post-surgical in etiology.