Hepatic lymphangioma

Last revised by Dr Jeremy Jones on 20 Sep 2021

Hepatic lymphangiomas are a rare benign condition that corresponds to focally dilated lymphatic channels in the liver. 

For a general discussion on this topic, please refer to the parental article on lymphatic malformations

Most cases are asymptomatic.

A lymphangioma is a benign lesion that can occur at almost any location in the body. Hepatic involvement is less common than seen in other organs 2.

Multiple septa lesions with thin walls (cuboid or lacunar epithelium) filled with chylous fluid content 2.

Appear as a hypoechoic cystic lesion and may show occasional internal septation and intralocular echogenic debris. Lymphangiomas composed of tiny lymphatic spaces can present as echogenic lesions due to septal reflections 2.

General imaging differential considerations include:

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