26-year-old male patient with cirrhosis. Evaluate for HCC. LIVER: The liver measures 18 cm in length and demonstrates coarsened, increased parenchymal echogenicity and is nodular in contour. No focal hepatic lesion is identified. Main portal vein flow is hepatopetal and measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: There are no gallstones, gallbladder wall thickening, or pericholecystic fluid. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 3 mm in diameter.PANCREAS: The pancreas is poorly visualized on this examination.RIGHT KIDNEY: The right kidney measures 11 cm in length. No evidence of hydronephrosis. OTHER: The left kidney measures 9 cm in length. No evidence of hydronephrosis.The spleen measures 12.5 cm in length.No ascites.
Nodular liver contour consistent with cirrhosis. No focal hepatic lesion is identified.