Hereditary haemorrhagic telangiectasia (possible)
Vague abdominal discomfort for 3 -4 mths.
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Multiple images of liver.
LIVER is normal in size. Mild coarsening of echopattern is noted without surface nodularity / capsular loss.
Diffuse dilatation main hepatic artery and its intrahepatic branches is noted.
Main hepatic artery - diameter of 11 mm. No thrombus is noted.
Increased intrahepatic vascularity is noted.
No solid or cystic mass lesion is seen.
Intrahepatic biliary redicles are not dilated. Portal and hepatic veins are patent.
Ultrasound features of diffuse dilatation of hepatic artery and its braches.
A leading question of epistaxis was asked and there was positive history for long term.
Possibility of Hereditary haemorrhagic telangiectasia was suggest in view of ultrasound findings and clinical back ground.
CT scan done later ( No copy right, not uploaded ) - Dilated hepatic artery, Bilateral lung base vascular anomalies. Intraluminal polypoid lesion in caecum.
- Idiopathic Diffuse Ectasia of the Intrahepatic and Extrahepatic Arteries. Mindy M. Horrow, MD, Jay B. Patel, MD, Juan A. Oleaga, MD, Kenneth D. Rothstein, MD, David J. Reich, MD J Ultrasound Med 20:171–174, 2001