Hepatic haemangioma

Case contributed by Dr Mohammad A. ElBeialy

Presentation

Hepatic mass dicovered at pre-operative routine abdominal US.

Patient Data

Age: 55 Years
Gender: Male
Modality: CT

Large caudate lobe mass with peripheral nodular enhancement, showing progressive filling in in delayed contrast phase. 

Modality: MRI

The liver is of average size with smooth regular outline. A large well-defined caudate and right hepatic lobe posterior superior segment 10 X 6 X 8 cm mass lesion is seen. The lesion shows hypointense T1 and hyperintense T2 as well as heavily T2 signal (light bulb sign). The lesion is abutting the hepatic veins and IVC with no invasion. The lesion shows early peripheral nodular enhancement in the arterial phase with centripetal enhancement in the consequent portal venous and delayed phases. No other focal hepatic lesions.

No intra-hepatic or extra-hepatic biliary tree dilatation. Calcular gall bladder. Normal spleen, pancreas and both kidneys. No enlarged para-aortic lymph nodes. No ascites.

Case Discussion

This case demonstrates typical, yet relatively large hepatic haemangioma with typical signal intensity and enhancement patten in two different modalities. Gall bladder stone is incidentally noted. 

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Case Information

rID: 23464
Case created: 17th Jun 2013
Last edited: 25th Feb 2016
Inclusion in quiz mode: Included

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