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?
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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