Hepatitis C. Cirrhosis. Evaluate for hepatocellular carcinoma. LIVER: Cirrhotic liver morphology. Coarsened parenchymal echogenicity. No focal hepatic lesions. Normal portal venous blood flow and direction.GALLBLADDER, BILIARY TRACT: No biliary ductal dilation. Gallbladder sludge noted. No evidence of cholecystitis.PANCREAS: No sonographic abnormality evident in the visualized pancreatic head and neck. The body and tail are obscured by bowel gas.KIDNEYS: The right kidney is 6.5 cm in length with a benign-appearing cyst in the midpole. The left kidney is 6.7 cm in length. The renal parenchyma is echogenic bilaterally. No suspicious renal lesions are evident. No hydronephrosis is seen.SPLEEN: 9.5 cm in length, without focal lesions evident.OTHER: No significant abnormalities noted.
1. Cirrhotic liver morphology without suspicious lesion identified.2. Mild ascites.3. Echogenic renal parenchyma, without hydronephrosis, compatible with medical renal disease.