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Hyperechoic liver lesions

A hyperechoic liver lesion on ultrasound can arise from a number of pathologies

These include both benign and malignant entities

Benign
Malignant

The presence of hyper-echogencity can be a result of fat within a liver lesion 2 although some non fat containing lesions may well represent hyper-echogenicity (e.g hepatic haemangiona) .

Radiographic assessment

Ultrasound

Some suggest pulse inversion harmonic imaging with quantitative evaluation as being a useful in facilitating the differential diagnosis of hyperechoic focal liver lesions where a lesion-liver ratio equal to or greater than 1 being predictive of a benign nature, assuming that malignant lesions show a ratio of less than 1 1.

See also

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