41 year-old male with hepatitis B. HCC screening. LIVER: Diffuse increased echogenicity of the liver measuring 16.0 cm in length. No focal hepatic lesion. Portal vein is patent with appropriate directional flow.GALLBLADDER, BILIARY TRACT: Linear echogenic strands within the gallbladder are again seen and appear similar to prior study. No pericholecystic fluid. No gallbladder wall thickening. Common bile duct measures 4 mm in caliber. No intra or extrahepatic biliary ductal dilatation.PANCREAS: The visualized portions of the pancreas are normal in echogenicity. No pancreatic ductal dilatation.RIGHT KIDNEY: The right kidney measures 12.3 cm in length. No hydronephrosis.OTHER: Left kidney measures 11.9 cm in length. No hydronephrosis. Normal echogenicity of the spleen measuring 12.5 cm in length.
1. Increased echogenicity of the liver suggestive of parenchymal dysfunction/fatty infiltration. No focal hepatic lesion. 2. Linear echogenic strands within the gallbladder may represent septations or adherent sludge, however given stability compared to prior exam, findings favor internal gallbladder septations. 