34 year old female with history of hepatitis B. Evaluate for HCC. LIVER: The liver parenchyma is coarse, similar to prior. The liver is 14.3 cm in length. Punctate, 3-mm hyperechoic focus which is likely a benign granuloma, however this area may be given special attention on subsequent screening utrasound as occasional HCC may contain large amounts of fat and be similarly hyperechoic.BILIARY TRACT: The gallbladder appears normal, and there is no gallbladder wall thickening, pericholecystic fluid, or cholelithiasis. No intrahepatic or extrahepatic biliary duct dilation. The common bile duct measures 0.2 cm.PANCREAS: Pancreas is partially visualized, and is normal in appearance.KIDNEYS: The right kidney measures 10.5 cm in length, and has normal parenchymal echogenicity. No shadowing calculi are present.The left kidney measures 10 cm in length. The cortex is normal in echogenicity. No shadowing calculi or hydronephrosis is present.SPLEEN: The spleen measures 9 cm.
Coarse hepatic parenchyma echotexture, similar to prior. Punctate, 3-mm hyperechoic focus which is likely a benign granuloma, however this area may be given special attention on subsequent screening utrasound -- see above discussion.