Ultrasound - Liver
The liver has homogeneous echotexture and smooth contour.
Within segment III a round hypoechoic lesion is identified measuring 1.6 x 1.4 cm. There is subtle posterior enhancement. Peripheral vascularity on colour Doppler. The remainder of the liver is normal.
The portal vein is patent and has anterograde flow.
Multiple polyps noted within the gallbladder, the largest measuring 9 mm in the region of the neck. The fundus of the gallbladder is filled with heterogeneous, echogenic material. This is well-circumscribed but appears separate from the gallbladder wall. Bright echogenic foci are seen around the periphery, possibly representing small stones. Difficult to ascertain whether there is maybe some peripheral colour flow. No fluid in the gallbladder fossa. No biliary tree dilatation.
Spleen normal size. No ascites.
Conclusion:
- Indeterminate liver lesion in segment III
- Possible gallbladder fundal cholesterolosis and a mixture of sludge and stones. Also, a few polyps (up to 11mm).
Recommendation: CEUS to asses both the liver lesion and assure no underlying mass within the gallbladder fundus.