Female 72 years old Reason: patient with liver hemangioma seen on MRI at Little Company of Mary, solid mass in the medial segment of the the left hepatic lobe with imaging characteristics most compatible with a giant hemangioma LIVER: Liver measures 15.7 cm in length. In left hepatic lobe, there is echogenic mass measuring approximately 5.1 x 4.1 x 3.7 cm, posterior acoustic enhancement seen, likely reflects patient's reported liver hemangioma. Also seen is ovoid anechoic right hepatic lesion measuring 3.3 x 1.4 x 1.3 cm. Parenchyma is mildly coarse in echotexture (may reflect underlying hepatic steatosis/parenchymal dysfunction), no suspicious lesion. Main portal vein patent with normal directional flow, velocity measures 17 cm/s. BILIARY TRACT: Gallbladder unremarkable. No significant gallbladder distention, wall thickening or pericholecystic fluid. No intrahepatic or extrahepatic biliary duct dilatation.PANCREAS: Not well seen due to obscuration by bowel gas.KIDNEYS: The right kidney measures 9.4 cm. The left kidney measures 10 cm. No hydronephrosis or perinephric free fluid.SPLEEN: The spleen measures 7.1 cm. in length. OTHER: No significant abnormality noted.
5.1 cm echogenic liver mass described above likely represents patient's reported hemangioma. Additional ovoid cystic lesion seen in right liver lobe, may reflect cyst or subcapsular/perihepatic fluid collection. Correlation with patient's clinical history and outside MRI recommended.Liver parenchyma is mildly coarse in echotexture, may reflect underlying hepatic steatosis/parenchymal dysfunction.