Presentation
Ultrasonography revealed multiple liver lesions.
Patient Data
Multiple ill-defined, hypodense lesions scattered throughout the liver. The largest in segment VIII is 5.6 x 6.5 cm.
These lesions show early peripheral nodular discontinuous enhancement on the arterial phase and subsequent centripetal filling on the porto-venous and delayed phases of contrast injection. Enhancing portion of the lesions is similar to the aorta in almost all phases.
Some non-enhancing areas are seen even on delayed images which likely represents slow filling sinusoids.
Case Discussion
The imaging features are corresponding to benign vascular hepatic lesions most likely hemangiomas.