Female 43 years old Reason: HCC screening History: hep B LIVER: Liver measures 9.4 cm in length. The parenchyma is normal in echotexture. No focal hepatic lesion is seen. No ascites. Main portal vein is patent with flow toward the liver on color Doppler imaging.BILIARY TRACT: Multiple shadowing gallstones are identified and unchanged from prior exam. Additional nonshadowing subcentimeter foci which are not freely mobile are again demonstrated on this exam and may reflect additional stones or polyps. No significant gallbladder distention, wall thickening or pericholecystic fluid. No intrahepatic or extrahepatic biliary duct dilatation.PANCREAS: The imaged head of the pancreas is normal. The body and tail are obscured by bowel gas.KIDNEYS: The right kidney measures 8.2 cm. The left kidney measures 8.4 cm. No hydronephrosis or shadowing renal calculus bilaterally.SPLEEN: The spleen measures 8.3 cm in length. OTHER: No significant abnormality noted.
1.No focal hepatic lesion. 2.Cholelithiasis without evidence of cholecystitis. Additional subcentimeter nonshadowing foci are not freely mobile and may reflect additional stones or polyps. Both findings are stable compared to prior