Finding: Liver: brightness of liver parenchyma with normal size and smooth surface, a hypoechoic lesion about 16.3 mm in size in the med. seg.. Portal vein: negative. Common bile duct: negative. Intrahepatic duct: negative. Gallbladder: negative. Pancreas: negative. Spleen: negative. Hepatic vein and inferior vena cava: negative. Ascites/Others: nil. Diagnosis: Fatty liver. Liver nodule. Note: nil.