76-year-old male patient with hepatitis C. Evaluate for cirrhosis. LIVER: The liver measures 15.4 cm in length. No focal hepatic lesion is identified. Main portal vein flow is hepatopetal and measures 0.3 m/sec.GALLBLADDER, BILIARY TRACT: There are gallstones without gallbladder wall thickening or pericholecystic fluid. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 3 mm in diameter.PANCREAS: The head and body of the pancreas demonstrate normal echogenicity. The tail is obscured by overlying bowel gas.RIGHT KIDNEY: The right kidney measures 10.8 cm in length. No evidence of hydronephrosis. OTHER: The left kidney measures 12.6 cm in length. No evidence of hydronephrosis. There is a 1.5 x 1.3 cm left midpole renal cyst.The spleen measures 9.5 cm in length.
1. No focal hepatic lesion identified.2. Cholelithiasis without sonographic evidence of acute cholecystitis.3. Left renal cyst.