68-year-old female with cirrhosis, assess for hepatocellular carcinoma. LIVER: Measures 16.1 in length. Cirrhotic morphology and increased hepatic echogenicity without discrete focal lesion. Patent portal vein with antegrade flow. BILIARY TRACT: Gallbladder wall thickening likely represents the sequela of chronic liver disease. No cholelithiasis. No gallbladder wall thickening, pericholecystic fluid, or biliary ductal dilation. PANCREAS: The pancreas is incompletely imaged due to bowel gas. The imaged portions of the pancreas appear unremarkable. SPLEEN: Splenomegaly measuring 20.5 cm in length without focal lesion.KIDNEY: No hydronephrosis, nephrolithiasis, or solid mass. OTHER: No significant abnormalities noted.
1.Cirrhotic morphology and increased hepatic echogenicity consistent with chronic liver disease, without discrete lesion.2.Mild ascites and splenomegaly.