Reason: 47-year-old female with Li Fraumeni syndrome. Evaluate for hepatic hemangioma, gallstones. LIVER: The liver measures 21.1 cm in length. Mildly increased parenchymal echogenicity is suggestive of fatty infiltration/parenchymal dysfunction. There is redemonstration of a predominantly hypoechoic mass within the right lobe of the liver measuring 5.6 x 4.6 x 5.5 cm, not significant changed from prior ultrasound allowing for differences in technique. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.21 m/s.BILIARY TRACT: Cholelithiasis. No gallbladder wall thickening or pericholecystic fluid is visualized. The sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 4 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: The spleen measures 10.4 cm in length. RIGHT KIDNEY: Kidney measures 13.7 cm in length. Normal cortical echotexture. No hydronephrosis, shadowing calculus, or mass. Renal cyst. LEFT KIDNEY: Kidney measures 12.5 cm in length. Normal cortical echotexture. No hydronephrosis, shadowing calculus, or mass.OTHER: No significant abnormalities noted.
1.Cholelithiasis.2.Hepatomegaly and hepatic steatosis.3.Hepatic mass as characterized on prior MRI as compatible with a hemangioma, similar in size to 6/3/2016 ultrasound allowing for differences in technique.