71-year-old male with hepatitis C. Screen for HCC. LIVER: Diffuse increased echogenicity of the liver measuring 16.5 cm in length. No focal hepatic lesion. Portal vein is patent with appropriate directional flow. GALLBLADDER, BILIARY TRACT: Comet tail artifact in the gallbladder consistent with adenomyomatosis of the gallbladder. No pericholecystic fluid. No gallbladder wall thickening. Common bile duct measures 4 mm in caliber. No intra or extrahepatic biliary ductal location.PANCREAS: The visualized portions of the pancreas are normal in echogenicity. No pancreatic ductal dilatation. RIGHT KIDNEY: Normal echogenicity of the right kidney measured 11.6 cm in length. No hydronephrosis.OTHER: Normal echogenicity of the left kidney measuring 10.7 cm in length. No hydronephrosis.Normal echogenicity of the spleen measuring 8.7 cm in length.
1. Diffuse increased echogenicity of the liver suggestive of parenchymal dysfunction/fatty infiltration. No focal hepatic lesion.2. Adenomyomatosis of the gallbladder. 