History of right upper quadrant pain. No reported history of chronic liver disease. LIVER: The liver is normal in morphology, size and echogenicity, measuring 15 cm in length. The liver capsule is smooth. No intrahepatic biliary ductal dilatation. Normal hepatopedal portal venous blood flow at 39 cm/s.Note is made of a 1.0 x 0.9 x 0.8 cm echogenic lesion without a surrounding halo, statistically likely a benign hemangioma in the absence of chronic liver disease.BILIARY TRACT: Normally distended gallbladder without gallstones, wall thickening, pericholecystic fluid, or focal tenderness. No extrahepatic biliary ductal dilatation with the common duct measuring 3 mm.PANCREAS: The visualized pancreatic head and body is unremarkable. The remainder the pancreas is obscured by overlying bowel gas shadowing.SPLEEN: The spleen measures 8.5 cm in length without a focal lesion.RIGHT KIDNEY: The right kidney measures 10.4 cm in length without hydronephrosis, shadowing nephrolithiasis or discrete lesion. Color Doppler demonstrates hilar blood flow. The renal cortex is mildly echogenic. OTHER: The left kidney measures 10.8 cm in length without hydronephrosis, shadowing nephrolithiasis or discrete lesion. Note is made of prominent renal sinus fat and mild cortical echogenicity. Color Doppler demonstrates hilar blood flow.
No specific findings to account for the patient's right upper quadrant pain.1 cm right hepatic lobe echogenic lesion statistically likely represents a benign hemangioma in the absence of chronic liver disease.Findings suggestive of medical renal disease.