Female 64 years old; Reason: of liver screen for hcc. hbv History: same LIVER: The liver measures 15.2 cm in length. There is coarse increased echogenicity of the liver parenchyma. There is a nodular appearance of the liver No fluid worrisome masses. A simple appearing hepatic cyst is revisualized in the right lobe measuring 1.2 cm x 1.1 cm x 1.4 cm. This previously measured 1.7 cm x 0.8 cm x 1.4 cm. No intrahepatic ductal dilation is seen. The main portal vein is patent with normal hepatopetal flow measured at 23.8 cm/s. GALLBLADDER/BILIARY TRACT: The gallbladder surgically absent. The common bile duct measures 2.8 mm in diameter. PANCREAS: Portions of the pancreas are obscured by bowel gas with visualized portions normal in appearance.SPLEEN: The spleen is surgically absent.RIGHT KIDNEY: The right kidney measures 7.4 cm in length. The cortex has increased echogenicity and appears atrophic. No hydronephrosis, stones, or worrisome masses are seen.RENAL TRANSPLANT: The renal transplant is poorly visualized due to overlying bowel gas and is likely atrophic.LEFT KIDNEY: Not visualized due to overlying bowel gas, likely atrophic
1. The liver has coarse increased echogenicity with a nodular appearance compatible with cirrhotic morphology. No new worrisome masses are seen.2. Right and left kidneys as well as the prior renal transplant are all not well visualized on this ultrasound and are likely atrophic.