Fig. 2

Pre-operative abdominal ultrasound. The dimensions of the liver are at the upper limit of normal, and it presents with rounded margins and diffusely increased echogenicity, findings diagnostic for hepatic steatosis. In this background, in the seventh liver segment, there is a hypoechoic area, measuring 12 mm in diameter, suggestive of hepatic hemangioma (Panel A). The intra-hepatic and extra-hepatic biliary ducts are normal. The gallbladder contains a very small amount of liquid, and its lumen is filled by a lithiasic agglomerate, measuring 5 mm in its maximal diameter (Panel B). The gallbladder walls are mildly thickened, with a concomitant mild edema of the perivisceral adipose tissue