Female 37 years old Reason: 37 year old with history of AML, s/p alloSCT now with increasing ruq post-prandial pain radiating to back. R/o cholecystitis. History: pain after eating LIVER: 15.4 cm in length. Several broad ill-defined areas of increased echogenicity in the posterior segment of the right lobe. I favor focal fat. Given the history neoplasm is unlikely. This could be evaluated further with CT or MRI.Flow in the portal vein is hepatopedal peak velocity 0.2 m/sGALLBLADDER, BILIARY TRACT: Gallbladder is normal with no evidence of stones, wall thickening or pericholecystic fluid. Sonographic Murphy's sign was absent.No intrahepatic or extrahepatic biliary dilatation. Common bile duct 0.4 cm in diameter.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: Morphologically normal 8.7 cm length.OTHER: Left kidney morphologically normal 9.9 cm in length. Spleen 9.19 in length.No evidence of ascites.
Broad ill-defined areas of mild increased echogenicity in the posterior segment of the right lobe. Differential diagnostic considerations include focal fat or less likely neoplasm. Clinically indicated this could be evaluated further with CT or MRI.