34-year-old female patient with right upper quadrant pain. Evaluate for gallbladder dysfunction. LIVER: The liver measures 14.4 cm in length. The hepatic parenchyma is slightly coarsened in echotexture. A 1.2 x 1.2 x 0.8 cm well-defined hyperechoic lesion within the right hepatic lobe is favored to represent a hemangioma. Main portal vein flow is hepatopetal and measures 0.2 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 2 mm in diameter.PANCREAS: The head of the pancreas demonstrates normal echogenicity. The body and tail is obscured by overlying bowel gas.RIGHT KIDNEY: The right kidney measures 9.5 cm in length. No evidence of hydronephrosis. OTHER: The left kidney measures 10.3 cm in length. No evidence of hydronephrosis.The spleen measures 8.1 cm in length.No ascites.
1. Slightly coarsened hepatic echotexture which can be seen in the setting of hepatic parenchymal dysfunction.2. No cholelithiasis or sonographic evidence of acute cholecystitis.3. Probable right hepatic lobe hemangioma. 