On ultrasound examination, the gallbladder appeared free from lithiasis, while in B-mode were identifiable tortuousness of the intrahepatic branches of the liver artery, dilation of the liver artery with accelerated flows and arterial malformations in the liver parenchyma. The ultrasound features are suggestive for HHT.
Images 1-2: Arteriovenous malformation that connects left portal branch and left suprahepatic vein.
Images 3-4: Tortuousness of the hepatic artery.
Images 5-6: Enlarged hepatic artery with accelerated flow.
Images 7-8: Focal liver lesion consisting of hepatic telangiectasia.
Image 9: Portal vein dilatation with flow acceleration.