Male 63 years old Reason: hcc screening History: hep C cirrhosis ABDOMEN:LIVER, BILIARY TRACT: Nodular contour to the liver with prominence of the hepatic fissures consistent with cirrhotic morphology. Small pericholecystic fluid/wall thickening, may be secondary to chronic liver disease. No significant gallbladder distention. No intraluminal signal void seen to suggest underlying cholelithiasis. No suspicious liver parenchymal lesion. Patent hepatic vasculature.SPLEEN: Splenomegaly measuring 17.8 cm.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Multiple T2 hyperintensities are suggestive of renal cysts. T2 hypointense lesion within the left kidney demonstrates intrinsic T1 hyperintensity signal and is suggestive of a hemorrhagic cyst.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Trace abdominal ascites. Upper abdominal varices.
1. Cirrhotic liver morphology with stigmata of portal hypertension. No suspicious liver lesion.2. Small pericholecystic fluid/wall thickening, may be secondary to chronic liver disease. No significant gallbladder distention. 