Hemangioma in a cirrhotic liver
Cirrhotic patient with a hypoechoic liver mass detected at ultrasonography.
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- liver cirrhosis, portal hypertension with esophageal varices and splenomegaly.
- within the right liver lobe segment V, there is a 2 X 2 cm lesion with hypointense T1 and mildly hyperintense T2/ heavily T2 signal.
- dynamic contrast-enhanced series shows a hypervascular lesion at the right liver lobe segment V with nodular enhancement in the arterial phase.
- the lesion shows persistent enhancement at the portal, venous and delayed phases with centripetal filling in.
- no wash-out of the contrast is noted.
- note also the right liver lobe wedge shaped and sub capsular transient hepatic enhancement in the arterial phase just posterior the aforementioned hepatic focal lesion; representing a non-tumorous arterio-portal (AP) shunt.
Hemangioma in a cirrhotic liver. A confident diagnosis of pre-existing hepatic hemangioma in cirrhotic liver was made and the typical imaging criteria preclude the need for biopsy.
- Klotz T, Montoriol PF, Da Ines D et-al. Hepatic haemangioma: Common and uncommon imaging features. Diagn Interv Imaging. 2013;94 (9): 849-59. doi:10.1016/j.diii.2013.04.008 - Pubmed citation
- Albiin N. MRI of Focal Liver Lesions. Curr Med Imaging Rev. 2012;8 (2): 107-116. doi:10.2174/157340512800672216 - Free text at pubmed - Pubmed citation