Male 62 years old; Reason: HCC surveillance History: HCV cirrhosis LIVER: The liver measures 14.1 cm in length. There is coarse and increased echogenicity of the liver parenchyma. The liver appears nodular. No focal hepatic lesions are seen. On prior CT multiple subcentimeter hypodensities were present throughout the liver, however these were not seen on this ultrasound. No intrahepatic ductal dilation is seen. The main portal vein is patent with normal hepatopetal flow measured at 14.8 cm/s. GALLBLADDER/BILIARY TRACT: The gallbladder is surgically absent. The common bile duct measures 2.5 mm in diameter. PANCREAS: Portions of the pancreas are obscured by bowel gas with visualized portions normal in appearance.SPLEEN: The spleen measures 10.3 cm and no significant abnormalities are noted.RIGHT KIDNEY: The right kidney measures 9.1 cm in length. The cortex hasnormal echogenicity. No hydronephrosis, stones, or worrisome masses are seen.LEFT KIDNEY: The left kidney measures 10.0 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen.
The liver is nodular with coarse increased echogenicity compatible with cirrhotic morphology. No ascites is seen. No new worrisome masses. Subcentimeter hypodensities within the liver seen on prior CT were not visualized on this study.