81-year-old female patient with pain in right flank. Evaluate for abdominal mass. LIVER: The liver measures 14.9 cm in length. There is a 1.3 x 1.5 x 1.1 cm hyperechoic lesion within the right hepatic lobe which likely represents a hemangioma, seen on prior CT study. Hepatic parenchymal echogenicity is increased. Main portal vein flow is hepatopetal and measures 0.3 m/sec.GALLBLADDER, BILIARY TRACT: There are no gallstones, gallbladder wall thickening, or pericholecystic fluid. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 3 mm in diameter.PANCREAS: The head and body of the pancreas demonstrate normal echogenicity. The tail is obscured by overlying bowel gas.RIGHT KIDNEY: The right kidney measures 10.4 cm in length. No evidence of hydronephrosis. OTHER: The left kidney measures 9.8 cm in length. No evidence of hydronephrosis.The spleen measures 6.4 cm in length.
1. Increased hepatic parenchymal echogenicity which can be seen with hepatic steatosis/hepatic parenchymal dysfunction.2. Right hepatic lobe hemangioma, seen on prior CT.