Incidental liver lesion LIVER: Coarse echogenic liver echotexture. 3.9 x 3.2 x 4.3 cm peripheral hypoechogenic focus within segment 4A of the liver corresponding to the lesion seen on the noncontrast chest CT. Liver length 14.6 cmBILIARY TRACT: No significant abnormalities noted.PANCREAS: No significant abnormalities noted.SPLEEN: No significant abnormalities noted. 11.8 cm in lengthRIGHT KIDNEY: No significant abnormalities noted. 10.9 cm in lengthOTHER: Left kidney 11.2 cm in length. No ascites.
Peripheral hypoechoic echogenic lesion within segment 4A of the left lobe of the liver corresponding to lesion seen on the noncontrast CT. This lesion is incompletely characterized on ultrasound. After talking to the patient, he confirms that prior CTs are available from an outside institution. Comparison with these images would be very helpful to document temporal stability of this lesion. If these images are not available or if this lesion is new relative to these prior studies, would recommend correlation with dedicated cross sectional imaging.Coarse echogenic liver suggestive for fatty infiltration/parenchymal dysfunction. No ductal dilatation. No ascites.