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The liver remains of diffusely markedly increased echotexture in keeping with fatty infiltration.A few small regions of focal fatty sparing are seen, most prominent around the gallbladder and main portal vein. The known hypoechoic segment VI liver lesion is again demonstrated and is stable. It is well circumscribed and measures approximately 2.9cm in maximum dimension. No new liver lesion is seen. The main portal vein is not enlarged and demonstrates flow in a normal direction. No flow is seen within the ligamentum teres.
Conclusion Marked fatty infiltration of the liver with a stable, hypoechoic segment VI liver lesion, when compared to the prior examination.