68 year old female with HCV. Evaluate for cirrhosis or HCC. LIVER: The liver is normal in morphology, echogenicity and size, measuring 16 cm in the craniocaudal dimension. The liver capsule is smooth. No intrahepatic biliary ductal dilatation or focal hepatic lesion is evident. There is normal hepatopetal portal venous blood flow at 19 cm/sec.BILIARY TRACT: A normally distended gallbladder is present without gallstones, wall thickening, pericholecystic fluid, or focal tenderness.No extrahepatic biliary ductal dilatation with the common bile duct measuring 5 mm.PANCREAS: The visualized pancreatic head is unremarkable. SPLEEN: The spleen measures 7.7 cm in length without a discrete lesion.RIGHT KIDNEY: The right kidney measures 12 cm in length without hydronephrosis, shadowing calculus or discrete lesion evident. OTHER: The left kidney measures 10.4 cm without hydronephrosis, shadowing calculus, or discrete lesion evident.
No focal hepatic lesion or specific stigmata of cirrhosis.