Reason: evaluate for HCC History: HCV cirrhosis LIVER: The liver measures 14.3 cm in length and is nodular in contour. The liver demonstrates increased parenchymal echogenicity with coarsened echotexture. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.2 m/s.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 5 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: The spleen measures 14.7 cm in length. Coarse calcification within the spleen.RIGHT KIDNEY: Kidney measures 11.0 cm in length. Normal cortical echotexture. No hydronephrosis.LEFT KIDNEY: Kidney measures 11.3 cm in length. Normal cortical echotexture. No hydronephrosis.OTHER: No ascites.
Cirrhotic liver morphology without focal lesions identified. Mild splenomegaly. No ascites.