Haemangiomas in diffuse hepatic steatosis

Case contributed by Yaïr Glick
Diagnosis certain

Presentation

Background of diabetes mellitus type II, obesity, and dyslipidaemia. Preoperative US - fatty liver? gallbladder?

Patient Data

Age: 35 years
Gender: Female

The liver is enlarged and very echogenic, i.e. markedly fatty.

Case Discussion

All of the larger lesions were shown to be haemangiomas on a multiphase liver CT (unavailable) done several days after the US.

On a background of a fatty liver, haemangiomas, classically hyperechoic to liver parenchyma, can also appear hypoechoic or isoechoic.

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