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Abdominal ultrasound
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Abdominal ultrasound

I am a 39 year old female who underwent an ultrasound due to RUQ pain/pressure.  The ultrasound report is as follows:  The liver parenchyma does appear echogenic diffusely suggesting fatty infiltration.  A 2.4 X 3.3 X 1.6 cm hypoechoic mass-like area of decreased echogenicity is seen within the right lobe of the liver. There is hepatopetal flow within the main portal vein.  Everything else appears normal.

Impression:1.  Farry liver
                 2.  A 3.3 cm hypoechoic mass suggested within the right lobe of the liver.  Underlying Neoplasm has not been ruled out.

Could you interpret this report.  What is the significance of a hypoechoic mass?  Is a hypoechoic mass more significant than a hyperechoic mass?  What else can this be?  Is the size very big?

Any help would be appreciated.

Thanks
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301037_tn?1213868178
In your case the sonographer is seeing a fatty liver which is increased fatty deposition in the liver which is benign very common finding. Howver, he has alos noticed a hypoechoic lesion ~3cm which is a moderately large lesion, which is non specific finding and can be anyhting including a neoplasm, focal fatty sparing, etc. Only further tests will help including- CECT abdomen, and then, if required USG guided FNAC etc.

Right now CECT abdomen is advisable to confirm and characterize the finding.
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