46-year-old female with transaminitis. Evaluate for fatty liver. LIVER:Measures approximately 16.4 cm. Normal echotexture. Hyperechoic foci measuring approximately 0.7 x 1.0 x 0.6 cm in the right lobe of uncertain etiology. No ascites or intrahepatic biliary dilation.GALLBLADDER, BILIARY TRACT: The gallbladder is nondistended with an anechoic lumen. The wall measures 0.1 cm. No pericholecystic fluid, stones, or sludge. The common bile duct measures 0.2 cm.PANCREAS: Evaluation of the pancreas is limited due to overlying bowel gas.SPLEEN: Measures 10.2 cm without sonographic abnormalities.KIDNEYS: Right kidney measures 9.3 cm. Left kidney measures 11.6 cm. Normal echogenicity. No shadowing calculi, hydronephrosis, or focal mass. OTHER: No significant abnormality noted.
1. Hyperechoic foci in the right lobe of the liver as described above statistically favors a benign entity, such as a hemangioma, however it is incompletely characterized on this study. Given the patient's personal history of breast cancer, dedicated cross-sectional imaging may be helpful if further characterization is desired.