Hepatic hemangiomas are benign non-neoplastic hypervascular liver lesions which are usually an incidental finding on imaging. Most patients are asymptomatic.

On ultrasound they are typically well-defined hyperechoic lesions. In 10% of cases they are hypoechoic, especially in fatty liver where the parenchyma itself is of increased echogenicity as in our case. The CT features in this case are typical of hemangiomas.

Special thanks to Dr.Airon, Nitin to help in submitting this case.