FINDINGS:
Pancreas: Incompletely visualized due to bowel gas. Visualized portions are unremarkable. Echogenicity is normal. No evidence of peripancreatic fluid collections. Pancreatic duct is nondilated.
Liver: Hypoechoic right lobe lesion measures 2 cm in demonstrates very faint through transmission. This could be a complex cyst with hemorrhage or proteinaceous contents, but cannot entirely exclude neoplastic etiology such as biliary cystadenoma. However

no definite vascular flow identified within the lesion. Increased echogenicity in the rest of the parenchyma which could be due to fatty change or chronic liver disease. No perihepatic fluid, or fluid in Morison's pouch. No intrahepatic biliary ductal dilatation. The liver measures 15.5 cm.
Vessels: No evidence of AAA. Portal vein is patent with normal flow, towards the liver. IVC is patent.
Bile duct: The common duct measures 5 mm at the porta hepatis. No stones noted within the duct.
Gallbladder: Normally distended and thin-walled. No evidence of gallstones, pericholecystic fluid, or edema. Murphy's sign is negative.
Kidneys: The right kidney measures 10.8 cm. The left kidney measures 11.7 cm. No shadowing stones or hydronephrosis bilaterally. Cortical echogenicity is normal. No exophytic masses or complex cysts.
Spleen: The spleen measures 10 cm without focal lesions. Miscellaneous: No ascites or pleural effusions.
IMPRESSION:
Hypoechoic right lobe lesion measures 2 cm and demonstrates very faint through transmission. This is favored to be a complex cyst with hemorrhage or proteinaceous contents, but cannot entirely exclude neoplastic etiology such as biliary cystadenoma. However no definite vascular flow identified within the lesion. Recommend further evaluation with multiphasic liver protocol contrast-enhanced enhanced CT.
Increased echogenicity in the rest of the parenchyma which could be due to fatty change or chronic liver disease.