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Liver Focal Lesions | Ultrasound Awareness Liver Focal Lesions Abnormal areas seen in the liver on ultrasound Echogenicity • Hyperechoic – bright lesion • Hypoechoic – dark lesion • Anechoic – black (fluid-filled) Margins / Rim • Thin hyperechoic rim – usually benign • Thick hyperechoic rim – suspicious • Absent rim – often benign • Dotted rim – commonly seen in metastasis Characteristic Patterns • Peripheral nodular → Hemangioma • Central spoke-wheel → FNH • Mosaic pattern → HCC • Peripheral ri
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