Hepatic epithelioid haemangioendothelioma

Case contributed by Bashar Karkoush
Diagnosis almost certain

Presentation

Right upper abdominal pain.

Patient Data

Age: 55 years
Gender: Male

Multiple hypoattenuating lesions in both hepatic lobes in a peripheral/subcapsular distribution, with a target pattern of enhancement. The confluent lesion in segments 6 and 7 shows capsular retraction.

Status post cholecystectomy.

Case Discussion

This is a case of pathology proven hepatic epithelioid haemangioendothelioma, which is a rare vascular tumour. The case illustrates typical imaging features of the tumour - peripheral distribution of the lesions, capsular retraction, and lollipop sign. 

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