“…Therefore, the combination of US findings, such as round or oval morphology, markedly hypoechoic structure, focal or nodular and asymmetric cortical thickening, and hilum loss or dislocation with anarchic distribution of the vascular signal, regardless of size, is virtually diagnostic of metastasis [ 14 , 28 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 ].…”