53-year-old male with history of hepatitis B. Evaluate for apicitis or carcinoma. Follow-up gallbladder polyps. LIVER: The previously identified hemangioma in the left lobe of the liver is poorly visualized, measuring approximately 2.8 x 2.8 x 2.7 cm, not significantly changed from prior exams. This was demonstrated to be a hemangioma on prior CT but remains quite atypical by ultrasound. The superficial, presumed hemangioma previously identified is not well seen on today's study. There is a very small, 1 cm hemangioma in the inferior right lobe of the liver. This correlates with prior CT. No new masses are identified with certainty. Liver parenchyma is mildly echogenic.BILIARY TRACT: Again identified are two non-mobile, non--- shadowing hyperechoic foci in the gallbladder consistent with gallstones. These measure approximately 5 mm in greatest diameter and appears stable. No shadowing gallstones. No wall thickening or pericholecystic fluid. The biliary tract is normal in caliber.PANCREAS: Pancreatic head is normal. The body and tail are less well-visualized due to bowel gas.SPLEEN: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. OTHER: No significant abnormalities noted.
Mildly echogenic liver with stable mass is previously identified as hemangiomas by CT. There is a subcapsular lesion identified on prior exams which is not well seen on today's study. No new hepatic masses.Stable gallbladder polyps.