Male / 67 years old, Incidental finding on medical screening
Focal hypoechoic area just above of the IVC (collapsed due to compression of the probe)
This is called ‘Focal fatty sparing of the liver’
This lesion is well known mimicker of malignancy such as metastasis or HCC
The main cause of this lesions are aberrant venous drainage of the liver, such as aberrant left gastric vein.
So we should study about the lesion and its usual location.