Multiple hepatic haemangiomata

Case contributed by Dr Zareena Ansari

Presentation

An asymptomatic female came for a routine health check-up.

Patient Data

Age: 45 years
Gender: Female
Ultrasound

Abdominal ultrasound revealed multiple large heterogeneously hypoechoic mass lesions in both lobes. Largest lesion was over 6 cm in size.  

No other positive finding in the abdomen. No abnormality on chest x-ray or mammogram.

A differential diagnosis including hemangiomas, secondary malignancy with occult primary lesion, and primary hepatocellular carcinoma with metastases was given.

She then underwent a contrast-enhanced CT of the abdomen.

CT

Arterial phase shows peripheral nodular enhancement. 

Delayed phase showing complete 'filling in' of the lesions by contrast enhancement.

Case Discussion

A final diagnosis of multiple hepatic hemangiomas was given.

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Case information

rID: 28579
Published: 11th May 2014
Last edited: 22nd Jun 2018
Inclusion in quiz mode: Included

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