History colon cancer with abdominal pain and elevated alk phos LIVER: Diffusely heterogeneous and echogenic liver. 4.1 x 3 x 2.7 segment 7 right lobe hypoechoic liver mass. Liver length is 17.9 cmGALLBLADDER, BILIARY TRACT: Gallbladder sludge and stones with mild gallbladder wall thickening. Negative Murphy's sign. No ductal dilatation.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. 10.6 cm in length.OTHER: Left kidney 10.5 cm in length. Spleen 10.1 cm in length. Mild ascites.
Diffusely heterogeneous and echogenic liver parenchyma consistent with fatty infiltration/parenchymal dysfunction without ductal dilatation.  Right lobe liver mass worrisome for neoplasm; both primary and metastatic etiologies should be considered. Would recommend correlation with dedicated liver contrast cross-sectional imaging.Gallbladder stones and sludge with mild gallbladder wall thickening probably secondary to the presence of mild ascites. No convincing evidence to suggest acute inflammation at this time.