Multiple biliary hamartomas

Case contributed by Dr Andrew Dixon



Patient Data

Age: 35
Gender: Female

Multiple Biliary Hamartoma. Ultrasound shows many small round echogenic liver lesions and a few larger hypoechoic lesions. 


Portal venous phase CT showing multiple small hypoattenuating liver lesions.


MR images show multiple small T2 hyperintense and T1 hypointense liver lesions.  Several of the lesions have an enhancing periphery or enhancing nodule.

Case Discussion

Ultrasound, CT and MRI demonstrate numerous liver lesions.

On ultrasound they are generally small and echogenic with a few larger hypoechoic lesions.  CT showed many small 3-25 mm hypoattenuating lesions. MR revealed the lesions to be T2 hyperintense and T1 hypointense. Most lesions did not enhance however some contained an enhancing nodule or peripheral rim of enhancement.

Features were thought to be most consistent with multiple biliary hamartomas (von Meyenburg complexes).     

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Case information

rID: 9407
Published: 13th Apr 2010
Last edited: 13th Aug 2019
Tag: mri, liver
Inclusion in quiz mode: Included

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