31-year-old male with history of abnormal LFTs and hepatic steatosis. Assess liver morphology. LIVER: Diffusely increased hepatic parenchymal echogenicity, consistent with history of hepatic steatosis. Additionally, there is a focal hyperechoic abnormality in the central parenchyma which measures approximately 9 mm. Although this focal abnormality is most likely a benign hemangioma, given his background of hepatic steatosis this should receive special attention on future ultrasound imaging. No biliary dilatation or other significant abnormality.GALLBLADDER, BILIARY TRACT: No gallbladder wall thickening, pericholecystic fluid or gallstones. 3 x 3 x 4 mm gallbladder wall polyp.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. Right kidney measures 10.4 cm.OTHER: No significant abnormalities noted. Left kidney measures 10.5 cm. Spleen is within normal limits, measuring 10 cm. Limited view of the pancreas due to overlying bowel gas.
1.Findings consistent with hepatic steatosis.2.Focal, 9-mm hyperechoic abnormality is most likely a benign hemangioma, however should be given special attention on future ultrasound evaluations given this patient's background of hepatic steatosis.3.Tiny gallbladder polyp as above.