Evaluate for HCC. History of hepatitis C cirrhosis. LIVER: The liver is coarsely echogenic with a nodular contour suggestive of chronic liver disease.It measures 17 cm in craniocaudal dimension. Normal hepatopedal portal venous blood flow at 26 cm/s. No intrahepatic biliary ductal dilatation.In the left hepatic lobe peripherally there is a hypoechoic lesion measuring 1.3 x 1.0 x 1.3 cm with internal echoes and apparent enhanced through transmission. The lesion bulges the capsule. The lesion demonstrates mild interval growth from the 10/2314 ultrasound and 7/27/2012 CT.BILIARY TRACT: No extrahepatic biliary ductal dilatation with the common duct measuring 3 mm. Normally distended gallbladder without gallstones, wall thickening, pericholecystic fluid or focal tenderness.PANCREAS: The visualized portions of the pancreatic head and body are unremarkable. The remainder is obscured by overlying bowel gas shadowing.SPLEEN: The spleen measures 9.6 cm in length without a focal lesion.RIGHT KIDNEY: The right kidney measures 11.5 cm in length without hydronephrosis, shadowing nephrolithiasis or discrete lesion. Color Doppler demonstrates hilar blood flow. OTHER: The left kidney measures 12.1 cm in length without hydronephrosis, shadowing nephrolithiasis or discrete lesion. Color Doppler demonstrates hilar blood flow.
1.3 cm left hepatic lobe peripheral lesion demonstrates mild interval growth. Further characterization with a dedicated liver MRI/CT is recommended.Findings suggestive of chronic liver disease.