74-year-old female with right upper quadrant and epigastric pain. LIVER: The liver is normal in morphology, echogenicity and size, measuring 16.6 cm in craniocaudal dimension. Note is made of a 1 x 1 x 0.7 cm right hepatic lobe echogenic lesion without posterior shadowing or enhanced through transmission. No additional hepatic lesions are identified and the liver capsule is smooth. No intrahepatic biliary ductal dilatation. There is normal hepatopetal portal venous blood flow at 20 cm/sec. The hepatic duct measures 3 mm at the porta hepatis, normal.BILIARY TRACT: There is a normally distended gallbladder without gallstones, wall thickening, pericholecystic fluid, or focal tenderness. The common bile duct at the level of the pancreatic head is normal in caliber measuring 3 mm.PANCREAS: The visualized portions of the pancreatic body and head are normal.SPLEEN: The poorly visualized spleen measures 5 cm in length.RIGHT KIDNEY: The right kidney measures 8.6 cm in length without hydronephrosis, shadowing calculus or discrete lesion evident. Color Doppler demonstrates hilar blood flow. OTHER: Limited evaluation of the left kidney, which measures 8.8 cm in length, shows no hydronephrosis, shadowing calculus or discrete lesion. Color Doppler demonstrates hilar blood flow.
1. No specific findings to account for the patient's right upper quadrant and epigastric pain, accounting for the incomplete visualization of the pancreas. 2. Incidental 1 cm right hepatic lobe lesion likely represents a benign hemangioma in the absence of chronic liver disease. If there is a history of chronic liver disease further evaluation with a dedicated liver CT and/or MRI is recommended.