Hepatitis B. Evaluate for hepatocellular carcinoma. LIVER: Non-cirrhotic liver morphology. 21 cm in length. Mildly coarsened parenchymal echogenicity. No focal hepatic lesions. Normal portal venous blood flow and direction.GALLBLADDER, BILIARY TRACT: No biliary ductal dilation. Normal appearance of the gallbladderPANCREAS: 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 12.3 cm in length. The left kidney is 11.2 cm in length. No suspicious renal lesions are evident. No hydronephrosis is present.SPLEEN: 13.0 cm in length at the upper limits of normal, without focal lesions evident.OTHER: No significant abnormalities noted. No ascites.
Mild hepatomegaly with mildly coarsened hepatic echogenicity compatible with parenchymal dysfunction, without suspicious hepatic lesion identified.