70-year-old female with breast cancer, elevated liver function tests. LIVER: Measures 13.5 cm in length. Unremarkable contour and echogenicity without discrete focal lesion. Patent portal vein with antegrade flow measuring 0.3 m/s.BILIARY TRACT: No cholelithiasis, gallbladder wall thickening, or biliary ductal dilation.PANCREAS: No significant abnormalities noted.SPLEEN: No significant abnormalities noted.KIDNEY: Anechoic 1.7 x 1.2 cm right renal lesion in the superior pole with increased through transmission is consistent with a cyst. No hydronephrosis. OTHER: In the right adrenal region is a 2.0 x 2.0 cm round hypoechoic mass which is nonspecific and incompletely characterized.
1. 2.0 cm hypoechoic right adrenal lesion is nonspecific, and given the history of breast cancer metastasis cannot be excluded. Dedicated adrenal protocol MRI or CT is recommended for further evaluation. 2. No findings to account for the patient's elevated liver function tests.