Female; 44 years old. Reason: abdominal pain associated with food, negative EGD History: abdominal pain LIVER: The liver measures 14.4 cm in length. The liver surface is smooth, the parenchyma is mildly increased in echogenicity but normal in echotexture. Within the right lobe of liver is a 1.3 x 1.2 x 1.3 cm hyperechoic focus with no flow on color Doppler.The main portal vein is patent with hepatopetal flow and a peak velocity of 0.2 m/sec.BILIARY TRACT: The gallbladder is normal in appearance. There is no cholelithiasis, wall thickening or pericholecystic fluid. The common duct measures 0.1 cm in diameter. There is no intrahepatic biliary ductal dilatation.PANCREAS: The head and body of the pancreas are unremarkable. The tail is obscured by overlying bowel gas.SPLEEN: The spleen measures 9.4 cm in length.KIDNEYS: The right kidney measures 10.6 cm in length, the left measures 10.7 cm in length. There is no hydronephrosis or shadowing renal stone bilaterally.
1.No cholelithiasis or evidence of cholecystitis.2.1.3 cm echogenic focus in the right lobe of the liver. Benign etiologies such as focal fat or hemangioma are favored.