Liver metastases

Images by Genevieve Carbonatto

A patient presented with acute shortness of breath. A point of care ultrasound was performed on his lungs to look for pulmonary oedema, consolidation or effusion. While scanning, new liver metastases were visualised. The patient had presented with a new diagnosis of metastatic lung cancer.

Liver metastases may present in many different ways on ultrasound. The lesions may be

  • Hypoechoic
  • Hyperechoic
  • Cystic
  • Poorly defined
  • Have a peripheral halo

This patient had hypoechoic lesions which are the most common type of metastases and associated with lung and breast cancer, pancreatic adenocarcinoma and lymphoma


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