Fig. 4

CEUS LI-RADS 2 (probably benign). Atypically located area of hypersteatosis in a 47-year-old woman with chronic hepatitis B viral infection. Baseline US image (a) shows a hyperechoic oval-shaped area sized 2.8 cm in the segment IV in a fatty liver (arrow). At CEUS in the extended portal venous phase (b), the area is constantly isoechoic with respect to the surrounding liver parenchyma, as well as throughout the vascular study (arrow)