Female 57 years old; Reason: R/O liver lesions History: Hx of HCV LIVER: The liver measures 20.5 cm cm in length. There is increased, coarse, and heterogenous echogenicity of the liver parenchyma. . There is a round well-defined hyperechoic lesion noted in the portal hepatis that appears similar to the prior ultrasound dated March 2016 favored to be an area of focal fat. No intrahepatic ductal dilation is seen. The main portal vein is patent with normal hepatopetal flow measured at 23 cm/s. GALLBLADDER/BILIARY TRACT: The gallbladder wall appears normal but was unable to be measured. Gallstones are seen. Negative Murphy's. No pericholecystic fluid. The common bile duct measures 6.5 mm in diameter. PANCREAS: Portions of the pancreas are obscured by bowel gas with visualized portions normal in appearance.SPLEEN: The spleen measures 10.0 cm and no significant abnormalities are noted.RIGHT KIDNEY: The right kidney measures 11.9 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen.LEFT KIDNEY: The left kidney measures 11.4 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen.OTHER: No significant abnormality noted.
1. Coarse echogenic liver consistent with chronic liver disease/parenchymal dysfunction with no suspicious focal lesions. No ascites.2. Hyperechoic focus at the porta hepatis favored to be an area of focal fat.3. Gallstones without evidence of acute cholecystitis.