A series of sonographic images from a Liver study is presented.
Multiple circumscribed hypoechoic lesions scattered in the hepatic parenchyma are observed.
Adjacent to the medial margin of the gallbladder, there is an area of heterogeneous and poorly defined echogenicity, without appreciable separation plane between the wall of the gallbladder and the liver parenchyma, which shows vascularity in colour Doppler mode.
Free fluid in the abdominal cavity, as well as thickening of the margins of the peritoneum towards the anterior side of the abdominal wall.
Other findings: Stones inside the gallbladder, mild hepatic steatosis.
The kidneys and spleen are normal.