Female 64 years old Reason: assess for liver lesions History: HCV with SVR; cirrhosis LIVER: Hyperechoic coarse appearance of the liver is again seen. Nodularities consistent with cirrhosis. No focal hepatic lesion is seen. Main portal vein is patent with normal directional flow and a peak velocity of 22.9 cm/s.BILIARY TRACT: No intra or extrahepatic biliary ductal dilatation. Common bile duct measures 4 mm. Gallbladder is normal in appearance. No gallstones.PANCREAS: Head of the pancreas is normal in appearance without pancreatic ductal dilatation. Body and tail of the pancreas are scattered by overlying bowel gas.SPLEEN: Spleen is normal in appearance measuring 7.2 cm.KIDNEYS: Normal cortical medullary differentiation. No hydronephrosis, shadowing calculi, or mass. In the right kidney there is a anechoic cyst measuring 2.3 x 1.4 x 2.2 cm. Within the left kidney there is a small cyst measuring 1.4 x 1.1 x 1.4 cm.OTHER: No significant abnormalities noted.
Cirrhotic morphology of the liver without focal hepatic lesion.