Male 67 years old with hepatitis C, evaluate for HCC History: HCV LIVER: Mild increase in hepatic parenchymal echogenicity with coarsened echotexture. No focal hepatic lesions. Hepatic length measures up to 18.3 cm in craniocaudal dimension. No intrahepatic biliary ductal dilatation. The main portal vein is patent with normal hepatopedal flow directed towards the liver with a velocity of 26.5 cm/s. GALLBLADDER, BILIARY TRACT: The gallbladder is normal in echotexture with the wall measuring 4 mm. The common bile duct measures 5 mm in diameter. No choledocholithiasis. No extrahepatic biliary ductal dilatation.PANCREAS: Portions of the pancreas are obscured by bowel gas with visualized portions normal in appearance.SPLEEN: The spleen measures 8.9 cm and has a normal echotexture.KIDNEYS: The kidneys have normal corticomedullary differentiation. Thr right kidney measures 12.0 cm and has normal vascular flow. The left kidney measures 11.5 cm and has normal vascular flow. OTHER: No significant abnormality noted.
Mild increase in hepatic parenchymal echogenicity with coarsened echotexture consistent with fatty liver/hepatic parenchymal dysfunction. No hepatic mass or ductal dilatation identified.