Hepatic hemangioma (CEUS)

Case contributed by Bruno Di Muzio

Presentation

Indeterminate liver segment III lesion on a background of renal function impairment and chronic liver disease.

Patient Data

Age: 50 years
Gender: Male

CEUS Liver

ultrasound

Hypoechoic well-defined liver lesion in a subcapsular location in segment III. There is internal vascularity on color Doppler. 

After the injection of IV contrast (Definity - perflutren lipid microsphere) the lesion demonstrated typical centripetal contrast filling and no washout. 

Case Discussion

The liver lesion is hypoechoic on the B-mode US images but has typical contrast-enhanced ultrasound (CEUS) appearances of hemangioma.

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