The liver is of increased echointensity throughout, consistent with fatty infiltration. There is region of focal fatty sparing in the gallbladder fossa and this is more focal in one portion measuring approximately 3.6 cm in diameter. There is a further discrete lesion in segment 6 of the liver. This measures approximately 2.3 cm in diameter. It is ovoid and hypoechoic with posterior enhancement.
It is non-specific in appearance and whilst it may represent focal fatty sparing, differential would include a cavernous haemangioma. Triple phase liver CT is recommended to elucidate this finding further. The biliary tree is normal without cholelithiasis. The common duct measures 2.6 mm.
Flow is evident in the main portal vein which is normal in size. No splenic or renal abnormality. The right kidney measures 10.6 cm and the left kidney measures 10.9 cm in bipolar length.
The spleen diameter is 8.4 cm.