Presentation
Routine ultrasound liver with background history of hepatitis C.
Patient Data
A well defined hyperechoic lesion at the liver segment VII. No defined internal vascularity on colour Doppler (not shown).
The liver edge and margin are smooth and regular.
A relatively ill-defined liver lesion at segment VII, which is hypoattenuating (relative to the liver parenchyma) on non-contrast study, discontinuous, nodular peripheral enhancement on both arterial and portovenous phases (which is more conspicuous and prominent in portovenous phase). On the delayed 5 minute phase, the lesion has progressive centripetal fill-in and becomes isodense to the surrounding liver parenchyma.
Case Discussion
The patient has chronic hepatitis C, where on routine ultrasound liver noted the hyperechoic liver lesion in segment VII. This lesion is further characterised by CT liver multiphase in view of hepatitis C, and the size of the lesion is more than 1.0cm.
Otherwise, the serum alpha-fetoprotein is normal for this patient.
This case showed the typical CT imaging features for hepatic haemangioma.
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