62-year-old male with hepatitis C presents for evaluation of portal hypertension and cirrhosis. LIVER:Measures 14.1 cm. Mildly coarse echogenicity. No intrahepatic biliary dilation or ascites. No suspicious lesion is seen. Main portal vein is patent with hepatopedal flow. An approximately 1.3 x 1.2 x 1.0 cm anechoic areas consistent with a simple hepatic cyst.GALLBLADDER, BILIARY TRACT: The gallbladder is nondistended with an anechoic lumen. The wall is 0.2 cm. No pericholecystic fluid, stones, or sludge. Common bile duct measures 0.1 cm.PANCREAS: Evaluation the pancreas is limited due to overlying bowel gas.SPLEEN: Measures 7.7 cm without sonographic abnormalities.KIDNEYS: Right kidney measures 10.9 cm. Left kidney measures 11.1 cm. Normal echogenicity. No hydronephrosis or shadowing calculi. OTHER: No significant abnormality noted.
1. Mildly coarse echogenicity of liver consistent with fatty infiltration and chronic liver disease/parenchymal dysfunction. No ascites.2. Benign simple hepatic cyst appears unchanged.