Hepatic hemangioma

Case contributed by Dr Mohammad A. ElBeialy

Presentation

Hepatic mass dicovered at pre-operative routine abdominal US.

Patient Data

Age: 55 years
Gender: Male
CT

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

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 is hypointense T1 and hyperintense in T2 as well as heavily T2 weighted sequences (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 filling in the portal venous and delayed phases. No other focal hepatic lesions.

No intrahepatic or extrahepatic biliary tree dilatation. Contracted gallbladder with calculus. Normal spleen, pancreas and both kidneys. No enlarged para-aortic lymph nodes. No ascites.

Case Discussion

Relatively large hepatic hemangioma with typical signal intensity and enhancement pattern demonstrated by two different modalities. Gallstone is incidentally noted. 

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Case information

rID: 23464
Published: 17th Jun 2013
Last edited: 1st Dec 2019
Inclusion in quiz mode: Included

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