Female 72 years old with nonalcoholic steatohepatitis, cirrhosis and ascites. Hepatocellular carcinoma surveillance. Hepatocellular carcinoma surveillance. ABDOMEN:LIVER, BILIARY TRACT: Nodular liver contour with widened fissures and a moderate amount of upper abdominal ascites. No focal liver lesion. The vasculature is patent.The common bile duct is dilated up to 17 mm in diameter and tapers distally similar to improved compared to the prior ultrasound. There is mild intrahepatic biliary ductal dilatation. No biliary stone is identified. These findings are likely due in part to combination of post cholecystectomy state and age related ectasia.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No retroperitoneal lymphadenopathy.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Cirrhotic liver morphology with moderate ascites. No focal liver lesion.2.Interval improvement in mild intra and extrahepatic biliary dilatation without evidence of obstructing stone. Findings are likely related to age-related ectasia and postcholecystectomy change.