Elevated LFTs, liver lesion. LIVER: The liver measures 13.1 cm in length. There is increased and heterogeneous parenchymal echogenicity. A 7 mm hyperechoic focus in the right lobe of the liver has not significantly changed. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.3 m/s.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. The previously described possible gallbladder polyp is not visualized on this examination. The sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 2 mm in diameter.PANCREAS: No significant abnormalities noted.SPLEEN: No significant abnormalities noted.The spleen measures 10.6 cm in length. RIGHT KIDNEY: Kidney measures 10.0 cm in length. Normal echotexture. No hydronephrosis, shadowing calculus or mass.LEFT KIDNEY: Kidney measures 10.4 cm in length. Normal echotexture. No hydronephrosis, shadowing calculus or mass.OTHER: No significant abnormalities noted.
1.Subcentimeter echogenic focus in the liver unchanged and likely representing a hemangioma.2.Heterogeneous hepatic echotexture suggesting chronic liver disease/hepatic steatosis.3.Subcentimeter gallbladder polyp not visualized on this examination.