Male 65 years old Reason: eval for HCC with newly dx'd HCV LIVER: Liver measures 17.4 cm in length. Cirrhotic liver morphology. No suspicious liver lesion. Main portal vein patent with normal directional flow, velocity measures 23 cm/s, flow is pulsatile. Visualized hepatic veins patent.BILIARY TRACT: Numerous stones in gallbladder. Per ultrasound technologist, negative sonographic Murphy's sign. No significant gallbladder distention or wall thickening. No intrahepatic or extrahepatic biliary duct dilatation.PANCREAS: Not well seen in entirety due to overlying bowel gas.KIDNEYS: The right kidney measures 11.1 cm. The left kidney measures 10.7 cm. No hydronephrosis. Increased renal cortical echogenicity.SPLEEN: The spleen measures 10.8 cm. in length. OTHER: Ascites and right-sided pleural effusion seen. Foley catheter partially imaged.
Cirrhotic liver morphology. No suspicious hepatic lesion.Pulsatile portal venous flow, may be seen in setting of right-sided heart failure.Cholelithiasis. No secondary signs of acute cholecystitis.Echogenic kidneys, compatible with underlying medical renal disease.Ascites. Right-sided pleural effusion.