Reason: HCC screening, GFR too low for cross sectional imaging History: Cryptogenic cirrhosis LIVER: The liver measures 15.1 cm in length and is nodular in morphology. 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 0.15 m/s.BILIARY TRACT: Gallbladder surgically absent. The common bile duct is mildly prominent measuring up to 10 mm in diameter, not unexpected status post cholecystectomy and similar to prior cross-sectional imaging.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: No significant abnormalities noted. The spleen measures 11.3 cm in length. RIGHT KIDNEY: Kidney measures 9.5 cm in length. Normal cortical echotexture. No hydronephrosis.LEFT KIDNEY: Kidney measures 8.9 cm in length. Normal cortical echotexture. No hydronephrosis.OTHER: Mild upper abdominal ascites.
Cirrhotic liver without suspicious focal hepatic lesions identified. Ascites.