53-year-old male with HCV, steatosis and cirrhosis. Evaluate for hepatocellular carcinoma. Exam is somewhat limited by significant scarring and incision sites involving the abdomen.LIVER: Liver is highly echogenic and coarsened in echotexture which may be due to fatty infiltration and/or cirrhosis. Mild hepatomegaly. There is no gross, focal hepatic mass identified. Liver capsule is smooth. Limited color and spectral Doppler demonstrates patency and appropriate flow direction in the main portal vein.BILIARY TRACT: Gallbladder is normal without cholelithiasis, wall thickening or pericholecystic fluid. The visualized biliary tract is normal in caliber.PANCREAS: Not visualized due to bowel gas.SPLEEN: Normal in size.RIGHT KIDNEY: No significant abnormalities noted. OTHER: No ascites.
Echogenic liver without change. No hepatic mass identified.