11 yr MN Cocker, ALT 180, ALP 274, rest WNL, no symptoms.  Owner wants to wait on aspirate, so just wondering your impression of the 3 x 1.5 cm lesion in the right middle liver (not distorting the capsule).  Tried to use PD and adjust PRF, but getting a lot of noise.  Because of the hyperechoic fibrous looking core, I’m imagining we might not get our answer from FNA alone, but the liver is enlarged so thought it would be a good place to start. 

11 yr MN Cocker, ALT 180, ALP 274, rest WNL, no symptoms.  Owner wants to wait on aspirate, so just wondering your impression of the 3 x 1.5 cm lesion in the right middle liver (not distorting the capsule).  Tried to use PD and adjust PRF, but getting a lot of noise.  Because of the hyperechoic fibrous looking core, I’m imagining we might not get our answer from FNA alone, but the liver is enlarged so thought it would be a good place to start.