Male 66 years old; Reason: eval for etiology of RUQ pain and nausea, r/o gall bladder disease History: RUQ pain, nausea LIVER: The liver measures 15.7 cm in length. There is normal echogenicity of the liver parenchyma. A round well-circumscribed hyperechoic lesion is seen within the right lobe measuring 1.5 cm x 1.8 cm x 1.8 cm. This does not have internal vascular flow. No intrahepatic ductal dilation is seen. The main portal vein is patent with normal hepatopetal flow measured at 19.7 cm/s. GALLBLADDER/BILIARY TRACT: The gallbladder wall measures 1.5 mm. No stones are seen. No pericholecystic fluid. The common bile duct measures 2.5 mm in diameter. PANCREAS: Portions of the pancreas are obscured by bowel gas with visualized portions normal in appearance.SPLEEN: The spleen measures 12.1 cm and no significant abnormalities are noted.RIGHT KIDNEY: The right kidney measures 10.9 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen. A renal cyst is seen in the superior pole measuring 3.1 cm x 2.7 cm x 2.9 cm.LEFT KIDNEY: The left kidney measures 10.5 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen. A renal cyst is visualized measuring 3.3 cm x 2.9 cm x 3.1 cm.
1. No evidence of cholelithiasis or acute cholecystitis.2. A well-circumscribed hyperechoic lesion is seen within the right lobe of the liver favored to be a benign hemangioma.