A patient with elevated liver function tests and a history of lung cancer is likely displaying which condition in the sonogram?

When considering a patient with elevated liver function tests alongside a history of lung cancer, the most probable explanation for the findings in the sonogram is the presence of metastatic lesions. Lung cancer is known for its propensity to metastasize to the liver, making the liver a common site for secondary tumors originating from lung malignancies.

In a sonographic examination, metastatic lesions may appear as distinct masses in the liver, which could correlate with the patient's elevated liver function tests, indicating potential damage or dysfunction in liver tissue due to these metastatic deposits. This connection between the primary lung cancer and the liver findings reinforces the likelihood that the observed condition in the sonogram is due to metastatic disease.

Candidiasis typically affects immunocompromised individuals and would not directly correlate with elevated liver function tests in the same manner. Fatty infiltration usually has a different clinical context, often associated with metabolic syndrome or alcohol use, and would not be as closely linked to a history of lung cancer. Hepatocellular carcinoma is a primary liver cancer and would be more likely in cases of chronic liver disease or cirrhosis, rather than in a patient where liver function tests are elevated due to metastatic disease from a known primary cancer. Thus, metastatic lesions are the most fitting diagnosis