Flash filling hepatic haemangioma
Patient came for evaluation of a chronic PUJ obstruction
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In the arterial phase there is a brilliantly, homogenously enhancing lesion in left lobe of liver suggestive of flash filling haemangioma. No secondary evidence of chronic liver disease. Ultrasound correlation shows a hyperechoic lesion. Note is also made of right PUJ obstruction.
Normally the classical enhancement pattern of haemangiomas is a gradual centripetal, nodular filling of the lesions. However certain small hemangiomas may show a fast and homogeneous enhancement on the arterial phase itself, thus the name "flash filling" haemangioma.
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