52-year-old female with acute liver failure. LIMITED ABDOMENLIVER: The liver measures 19.6 cm. Coarse echotexture and nodular margin is compatible with chronic liver disease. Weakly echogenic lesion in segment 7 with subtle hypoechoic halo measures 1.4 x 1.5 x 1.6 cm.BILIARY TRACT: No shadowing gallstones or pericholecystic fluid. Gallbladder wall measures 6 mm in thickness, which may represent chronic liver disease. No biliary ductal dilatation.PANCREAS: No significant abnormalities noted.SPLEEN: No significant abnormalities noted. Spleen measures 9.9 cm. KIDNEYS: Right kidney measures 12.0 cm. No focal renal lesions or hydronephrosis. Left kidney measures 10.3 cm. No focal renal lesions or hydronephrosis.OTHER: No ascites.
1.Chronic liver disease with weakly echogenic lesion seen in segment 7 as described above. While imaging features could represent a hemangioma in a noncirrhotic liver, HCC should be excluded given the patient's chronic liver disease.2.Patent hepatic vasculature.3.Nonspecific gallbladder wall thickening in the setting of chronic liver disease.