Is that a liver mass or even liver cancer ?

These are the ultrasound images of the liver. What is that hypoechoic lesion mainly in the left lobe of the organ? 

We radiologists are taught very early to think of the most ominous possibilities when we see 👀 a liver lesion. 

Is it a hepatic carcinoma or metastasis?

Looks like a well defined lesion, no mass effects on surrounding tissue. 

Also, the liver is echogenic or hyperechoic. So fatty liver is present. 

The lesion in question could be an area without fatty change. 

Let's look at the color Doppler image:

No vascularity within the lesion. 

That confirms our diagnosis. 

Final diagnosis: fatty liver with focal fatty sparing.

(Images courtesy: Dr Golam)

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Sonography of liver