Male 57 years old Reason: hx of portal vein thrombosis, cirrhosis, and HCC History: eval for portal vein thrombosis LIMITED ABDOMENLIVER: Heterogeneous liver. Coarse echotexture of the liver. There is partial main portal vein thrombus. Right portal vein is not well visualized. Ill-defined masses in the right and left lobe of the liver that were seen on CT are not well seen on ultrasound. These lesions were suspicious for hepatocellular carcinoma. Further evaluation of the liver with MRI is recommended.BILIARY TRACT: No evidence of intra or extrahepatic biliary dilatation. Status post cholecystectomy.PANCREAS: No significant abnormalities noted.SPLEEN: Spleen is enlarged measuring 16 cm. RIGHT KIDNEY: No significant abnormalities noted.OTHER: No significant abnormalities noted.
Cirrhotic liver. Infiltrative, ill-defined bilateral lobar liver masses detected on the previous CT were not well seen on today's study. These lesions were suspicious for hepatocellular carcinoma. Further evaluation with liver MRI is recommended.Partial thrombosis of the main portal vein.Splenomegaly.