Slow filling hepatic haemangioma (CEUS)

Case contributed by Bálint Botz , 3 Feb 2019
Diagnosis almost certain
Changed by Ammar Haouimi, 2 Jun 2020

Updates to Study Attributes

Findings was changed:

A well-circumscribed slightly inhomogeneous, hyperechogenic lesion is visible in segment III of the left lobe, thatwhich shows no abnormal vascularity even when evaluated with MV-flow. The appearance makes hepatic hemangiomahaemangioma the most likely diagnosis, but the picture is far from pathognomonic, the CEUS is justified. 

Updates to Study Attributes

Findings was changed:
  • The cine recording begins when the first microbubbles arrive in the field of view. Throughout the arterial phase, the lesion shows only minimal enhancement along its margins, most of it shows no contrast uptake. 
  • The bulk of the lesion remains unenhancing throughout the sinusoidal (T 02:09) and late phase (T 04:00) 
  • Altogether the findings are in line with the diagnosis of slow filling hemangiomahaemangioma and do not support a malignant etiologyaetiology

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