The liver is mildly enlarged measuring 15.9 cm in the mid clavicular line and demonstrates diffusely increased echogenicity in keeping with fatty infiltration. There is a small area of focal fatty sparing seen adjacent to the gallbladder.
Within segment II of the liver, there is a heterogeneous lesion, which is predominantly hypoechoic, with ill-defined margins, measuring approximately 5.0 x 4.5 x 4.3 cm. No internal vascularity demonstrated within this.
No other focal liver lesion identified.
The main portal vein is of normal calibre measuring 1.3 cm and demonstrates normal direction of flow.
The gallbladder is nontender and thin-walled with no calculi or sludge identified. The common bile duct was poorly seen due to overlying bowel gas. The visualised common bile duct did not appear dilated measuring 3 mm. No intra-hepatic duct dilatation.
The pancreas was not well seen.
The visualised aorta is of normal calibre measuring up to 2.0 cm.
Normal spleen size of 12.1 cm.
No free fluid.
Both kidneys are normal in size, the right kidney measuring 10.5 cm and the left kidney measuring 12.9 cm. Both kidneys demonstrate normal corticomedullary differentiation normal renal cortical thickness. No hydronephrosis.