History of chronic nausea and vomiting LIVER: Liver measures 14.8 cm with mild to moderate increased echogenicity consistent with hepatic steatosis. In the left lobe of liver there is a hyperechoic lobulated subcapsular lesion that measures 2.4 x 1.5 x 2.5 cm which could represent area of focal fatty infiltration or less likely hemangioma.Gallbladder appears unremarkable.Main portal vein demonstrates normal flow directionality and patency.BILIARY TRACT: No evidence of gallstones. Common hepatic duct measures 2 mm. No gallbladder wall thickening or pericholecystic fluid.PANCREAS: Limited evaluation, due to gassy abdomen.SPLEEN: Spleen measures 8 mm without any focal lesion.RIGHT KIDNEY: Right kidney measures 10.1 cm the left measures 9.9 cm. No hydronephrosis. No renal stones.OTHER: No ascites.
Hepatic steatosis. 2.5 cm subcapsular left lobe lesion most likely represents focal fatty infiltration or hemangioma.