65-year-old male with a history of hepatitis C presents for HCC screening. LIVER: The liver parenchyma is coarse and echogenic. No focal hepatic lesion or intrahepatic biliary ductal dilatation. It is normal in size, measuring 15.5 cm in the craniocaudal dimension. Normal hepatopetal portal venous blood flow at 30 cm/sec.GALLBLADDER, BILIARY TRACT: Small gallstone without gallbladder wall thickening, pericholecystic fluid, or focal tenderness. No extrahepatic biliary ductal dilatation with the common duct measuring 6 mm.PANCREAS: The poorly visualized pancreatic body and head are unremarkable.RIGHT KIDNEY: The right kidney is normal in size, measuring 10.1 cm without hydronephrosis, or shadowing nephrolithiasis. 1.1 cm hypoechoic lesion, compatible with a probable simple cyst as seen on CT 3/6/2015.OTHER: The spleen is normal in size, measuring 10.9 cm in length. The left kidney measures 10 cm in length without hydronephrosis, shadowing nephrolithiasis, or suspicious lesion. There is a 2.0 cm bilobed inferior pole probable cyst as seen on prior CT.
Echogenic liver parenchyma consistent chronic liver disease without a focal lesion.Cholelithiasis without evidence of acute cholecystitis.Bilateral renal cysts.