Reason: HCC surveillance History: HCV cirrhosis LIVER: The liver measures 14.2 cm in length. Coarse, echogenic hepatic parenchyma with a nodular contour, consistent with cirrhotic morphology. Round hypoechoic lesion with ill-defined borders in the anterior segment of the right hepatic lobe measures 2.3 x 2.5 x 2.5 cm. The main portal vein is patent with normal directional hepatopedal flow, peak velocity 21.5 cm/s.GALLBLADDER, BILIARY TRACT: No significant abnormalities noted. The gallbladder wall measures 0.1 cm. The common hepatic duct measures 0.4 cm. No biliary ductal dilatation.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: The right kidney measures 10.4 cm in length. Normal echogenicity. No hydronephrosis or shadowing stones.LEFT KIDNEY: The left kidney measures 9.8 cm in length. Normal echogenicity. No hydronephrosis or shadowing stones.OTHER: No ascites.
New lesion in the right hepatic lobe is highly concerning for hepatocellular carcinoma and should be further evaluated with a dedicated contrast enhanced liver protocol CT or MRI.These findings were communicated to ordering physician Elizabeth Boyle at 10:00 on 2/24/16