History of cirrhosis. Evaluate for HCC. LIVER: The liver is shrunken and nodular compatible with cirrhosis. The parenchyma is coarse and moderately echogenic. No focal lesion is evident. It measures 13.7 cm in craniocaudal dimension.Normal hepatopedal portal venous blood flow at 0.2 m/s.BILIARY TRACT: No intra or extrahepatic biliary ductal dilatation with the common duct measuring 5 mm. PANCREAS: Limited evaluation of the pancreatic head/body is unremarkable.SPLEEN: The spleen measures 9.8 cm in length.RIGHT KIDNEY: The right kidney measures 8.1 cm in length without hydronephrosis or shadowing nephrolithiasis. It is mildly echogenic with cortical thinning.OTHER: The left kidney measures 8.3 cm in length without hydronephrosis or nephrolithiasis. It is mildly echogenic with cortical thinning.Moderate volume ascites.
Cirrhotic morphology without a suspicious focal lesion. Moderate volume ascites.