Female 50 years old Reason: RUQ abdominal pain please evaluate for mass in abdominal wall or intraabdominal mass. Possible LAM syndrome History: RUQ abdominal pain LIMITED ABDOMENLIVER: Measures 16.7 cm. Normal parenchymal echotexture. Hyperechoic focus in the inferior right hepatic lobe measures up to 1.1 cm. The portal vein is patent with normal directional flow.BILIARY TRACT: Common bile duct measures 5 mm. No cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. No intra or extra hepatic biliary ductal dilation.PANCREAS: No significant abnormality noted.KIDNEYS: The right kidney measures 10.2 cm. The left kidney measures 9.4 cm. No hydronephrosis or mass.SPLEEN: The spleen is not visualized. OTHER: No significant abnormalities noted.
Hyperechoic focus in the inferior right hepatic lobe, statistically is most likely a hemangioma, but is best considered indeterminate. Correlate with CT.