Male 65 years old Reason: assess for liver lesions History: hx of HCV with SVR; cirrhosis per biopsy LIVER: Coarse and mildly nodular appearance of the liver consistent with history of cirrhosis. Liver measures 18.4 cm. Nonspecific hypoechoic area adjacent to the gallbladder may represent a focus of fat sparing. No focal hepatic mass. Main portal vein is patent with normal directional flow and a peak velocity of 17.2 cm/s.BILIARY TRACT: Gallbladder is normal in appearance. No gallstones. No intra or extrahepatic biliary ductal dilatation. The common bile duct measures 3 mm.PANCREAS: Head of the pancreas is normal in appearance without pancreatic ductal dilatation. Body and tail of the pancreas are obscured by overlying bowel gas.SPLEEN: Spleen is normal in appearance measuring 10.0 cm.KIDNEYS: Right kidney measures 11.6 cm in length. Normal cortical medullary differentiation. No hydronephrosis or shadowing calculi. In the upper pole there is a cystic lesion with a thin septation and no internal vascularity, similar to the prior exam measuring 0.8 x 1.0 x 1.1 cm. Another cyst with a thin septation in the mid pole measures 2.0 x 1.6 x 1.6 cm.Left kidney measures 10.8 cm in length. Normal cortical medullary differentiation. No hydronephrosis, shadowing calculi, or mass. Left upper pole cyst which may have a septation, however is difficult to characterize measures 1.0 x 0.8 x 1.1 cm, appearing similar to the prior exam. Another anechoic cyst in the midpole of the left kidney measures 1.4 x 0.7 x 0.9 cm.OTHER: No significant abnormalities noted.
1.Coarsened and mildly nodular appearance of the liver consistent with history of cirrhosis. No focal hepatic mass.2.Multiple probable renal cysts bilaterally, which do not appear significantly changed.