Examination : Abdominal Ultrasound
Patient History/Special Notes : CHB
Comparison : US 17/07/2014
Finding:
The pancreas is not well visualizes due to overlying bower gas.
There is a 1.16 cm round circumscribed hyperechoice lesion at segment VII right hepatic lobe.
No evidence of dilated intrahepatic ducts.
The gallbladder has no evidence of intraluminal echogenicity and well distended. The common duct measures 2.7- mm in diameter.
Normal hepatopctal flow is demonstrated in the portal vein.
The right kidney measure 9.98–cm with a mid pole renal cyst. The left kidney measures 11.21-cm. no evidence of hydronephrosis. The urinary bladder and pelvic cavity are unremarkable.
The spleen measures 3.26-cm in span and normal in appearance.
The visualized portion of inferior vena cava and abdominal aorta appear unremarkable. No as cites or adenopathies are detected.
Impression:
1. A small hyprechoic lesion at segment VII liver, no invertal change since US 17/07/2014(1.18cm). differential diagnosis: hemangiomal is first considered, foal fatty change, metastasis, regenerating, nodule,