Presentation
Abdominal pain, progressive distension and jaundice.
Patient Data
The caudate lobe of liver is enlarged and irregularity is present at liver margin in keeping with cirrhosis.
A 45×40 mm hyperdense mass with early nodular enhancement and centripetal filling are seen in the upper segment of the right liver lobe most consistent with hemangioma.
A few small cysts are also observed in the liver measuring less than 20mm.
The gallbladder is not seen at the anatomical location due to prior resection.
Intrahepatic bile ducts are mildly dilated. Extrahepatic bile ducts are not dilated and show no obvious CT-detectable stone.
Dilated collateral vessels are seen at upper perigastric and distal paraesophageal regions.
Moderate abdominopelvic ascites is present.
The spleen is enlarged and its cephalocaudal height measured 154 mm.
Case Discussion
Cirrhosis with evidence of portal hypertension, splenomegaly and ascites.
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