Hepatic steatosis and hemangioma

Case contributed by Frank Gaillard

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.


Markedly echogenic liver due to hepatic steatosis makes the hemangioma appear hypoechoic. Note the absence of echogenic walls to vessels. 

Low attenuation liver, most easily seen during portal venous phase, consistent with hepatic steatosis (non-contrast: liver = 40HU, spleen = 51HU, portal venous phase: liver = 88HU, Spleen 126HU). This makes it difficult to make out in segment 5/6, ~2cm lesion.

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