60-year-old male with HCV and cirrhosis. Evaluate for hepatocellular carcinoma. LIVER: The liver is coarsely echogenic without underlying mass. Overall hepatic size is within normal limits. Morphology is cirrhotic. Limited color and spectral Doppler demonstrates patency and appropriate flow direction in the main portal vein.GALLBLADDER, BILIARY TRACT: On today's study, no definite gallstones, polyp or significant wall thickening. The biliary tract is normal in caliber.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: Renal cysts.OTHER: Left renal cysts. Splenic size normal.
Stable appearance the liver without mass.