64-year-old female with right upper quadrant pain. LIVER:Measures 15.2 cm. Increased, coarse echogenicity of the parenchyma. No ascites or intrahepatic biliary dilation. There is an approximately 2.6 x 2.3 x 2.8 cm well-defined hyperechoic lesion in the posterior right lobe.GALLBLADDER, BILIARY TRACT: The gallbladder is nondistended with an anechoic lumen. The wall measures 1.9 mm. No pericholecystic fluid, sludge, or stones. Common duct measures 4.1 mm.PANCREAS: Evaluation the pancreas is limited due to overlying bowel gas.SPLEEN: Measures 10.7 cm without sonographic abnormalities.KIDNEYS: Right kidney measures 12.8 cm. Left kidney measures 13.1 cm. Unremarkable echogenicity. No shadowing calculi, hydronephrosis, or focal mass.OTHER: No significant abnormality noted.
1. Increased, coarse echogenicity of liver parenchyma consistent with chronic liver disease and fatty infiltration/parenchyma dysfunction. No ascites.2. Hyperechoic lesion as described above statistically most likely represents a benign etiology such as a hemangioma. If a malignancy is clinically suspected, then dedicated cross-sectional imaging may be indicated.3. No evidence of cholelithiasis or cholecystitis.