“…There are certain disadvantages associated with use of conventional gray scale B-mode US for characterization of FLLs: (1) limited sensitivity for detection of small FLLs (<2 cm) developed on cirrhotic liver which is already nodular and coarse-textured [5,[8][9][10]18], (2) in certain cases, sonographic appearance of HCC and atypical MET lesions are overlapping [5, 8-10, 18, 24], (3) sonographic appearances of cystic MET and atypical Cyst are often overlapping [8,9], (4) sonographic appearances of HEM sometimes mimic HCC lesions [9, 11, 15, 17, 21-23, 26, 27] and (5) in certain cases, it is difficult to characterize isoechoic lesions with very slim liver to lesion contrast [2,9,15]. Thus, conventional gray scale B-mode US offers limited sensitivity for detection and characterization of FLLs [2,5,6,[8][9][10].…”