Male 63 years old Reason: r/o HCC History: HCV; advanced fibrosis LIVER: Liver measures 16.7 cm in length. The parenchyma is moderately coarse and echogenic. No focal hepatic lesions. No ascites.Main portal vein is patent with hepatopedal flow with a peak velocity of 0.3 m/s. BILIARY TRACT: Gallbladder unremarkable. No significant gallbladder distention, wall thickening or pericholecystic fluid. No intrahepatic or extrahepatic biliary duct dilatation.PANCREAS: The pancreas is obscured due to bowel gas.KIDNEYS: Patient is status post partial right nephrectomy with the postsurgical right kidney measures approximately 9.8 cm in length. The left kidney measures 12.4 cm. No shadowing renal calculus or hydronephrosis bilaterally.SPLEEN: The spleen measures 9.3 cm. in length. OTHER: No significant abnormality noted.
Moderately coarsened echotexture of the liver parenchyma consistent with fatty liver infiltration or diffuse infiltrative liver disease without a focal hepatic mass or ascites.