52 year old female with a history of hepatitis B. Presents for HCC screening LIVER: The liver is normal in size, morphology, and echotexture. It measures 15.5 cm in craniocaudal dimension. Stable simple appearing cyst in the left hepatic lobe measuring 1.1 cm. No suspicious focal hepatic lesion is identified. No intrahepatic biliary ductal dilatation. Normal hepatopetal portal venous blood flow at 20 cm/sec.GALLBLADDER, BILIARY TRACT: A normally distended gallbladder is present without cholelithiasis, wall thickening or pericholecystic fluid. No extrahepatic biliary ductal dilatation with the common bile duct measuring 4 mm.PANCREAS: The visualized portions of the pancreas are normal.RIGHT KIDNEY: The right kidney measures 10.9 cm in length. No hydronephrosis, shadowing calculus or discrete lesion.OTHER: The spleen is normal in size, measuring 8 cm. The left kidney measures 9.6 cm in length without hydronephrosis, shadowing calculus or discrete lesion evident.Incidental 2.4 x 1.7 x 3.1 cm anechoic, immobile simple cystic fluid collection at the left lung base, likely representing a loculated pleural effusion.
1. No focal hepatic lesion or biliary ductal dilatation.2. Incidental small left loculated pleural effusion.