45 year old male patient with cirrhosis. Screening HCC. LIVER: The liver measures 16.1 cm in length and demonstrates coarsened hepatic echotexture as noted previously. The liver contour is nodular. No focal hepatic lesion is identified although sensitivity is decreased given heterogeneity and contour nodularity. Main portal vein flow is patent with flow toward the liver.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 5 mm in diameter.PANCREAS: The head and body of the pancreas demonstrate normal echogenicity. The tail is obscured by overlying bowel gas. Pancreatic duct measures 0.1 cmRIGHT KIDNEY: The right kidney measures 11.7 cm in length. No evidence of hydronephrosis. OTHER: The left kidney measures 12.5 cm in length. No evidence of hydronephrosis.The spleen measures 12.4 cm in length.
No substantial interval change. Markedly heterogeneous nodular liver with no dominant lesions identified.