Ureteral calculus with renal calculi

Rt ureteral calculus 7mm. in

mid Rt ureter. Twinkle artefact present from this ureteral calculus. 

Note the dilated ureter without flow  separate from adjacent Rt iliac artery.

Moderate Rt hydronephrosis with right renal calculi 

Focal steatosis or focal fatty infiltration liver

Young male of 16 years shows:

= echogenic lesion anterior to the portal vein in the liver 

= few vessels seen passing through the lesion 

= no mass effect on adjacent structures seen

All these point to focal fatty infiltration liver or focal steatosis 

An important d/d is: hemangioma