Presentation
Right upper abdominal discomfort.
Patient Data
Age: 70 years
Gender: Male
From the case:
Hepatic hemangiomas
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Multiple hypodense hepatic lesions of various size, the largest lesions are located in the segments, 8/5 (measuring 88 x 85 x 55 mm), and left lobe centered on segment 2 (measuring 96 x 68 x 62 mm). Following IV contrast there is a typical discontinuous, nodular, peripheral enhancement on arterial phase with progressive centripetal fill-in on portal venous phase and almost complete fill-in on delayed phase. Compression of the left portal vein with atrophied left hepatic lobe.
Other small similar nodular lesions are seen in segments 4a, 5 and 6 with complete fill-in on delayed phase.
Case Discussion
CT features typical of hepatic hemangiomas.