Hepatic hemangioma in the presence of fatty infiltration: An atypical sonographic appearance

J. Ian Marsh1,2, Robert G. Gibney1,2, David K. B. Li1,3
1Department of Radiology, University of British Columbia, Vancouver, Canada
2Department of Radiology, Vancouver General Hospital, Vancouver, Canada
3Department of Radiology, University Hospital, Vancouver, Canada

Tóm tắt

The typical hepatic cavernous hemangioma presents no diagnostic difficulty at sonography. In contrast, an atypical hemangioma may cause great concern and result in costly and time-consuming investigations. The presence of diffuse fatty infiltration may result in an atypical echo-poor appearance of the hemangioma. Under such circumstances, computed tomography (CT) may not allow definitive diagnosis and magnetic resonance imaging (MRI) may be necessary.

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Tài liệu tham khảo

McArdle CR: Ultrasonic appearances of a hepatic hemangioma.J Clin Ultrasound 6:122–123, 1978 Freeny PC, Marks WM: Hepatic hemangioma: dynamic bolus CT.AJR 147:711–719, 1986 Bree RL, Schwab RE, Neiman HL: Solitary echogenic spot in the liver: is it diagnostic of a hemangioma?AJR 140:41–45, 1983 Pen JH, Pelckmans PA, van Maercke YM, Degryse HR, de Schepper AM: Clinical significance of focal echogenic liver lesions.Gastrointest Radiol 11:61–66, 1986 Gibney RG, Hendin AP, Cooperberg PL: Sonographically detected hepatic hemangiomas: absence of change over time.AJR 149:953–957, 1987 Stark DD, Felder RC, Wittenberg J et al.: Magnetic resonance imaging of cavernous hemangioma of the liver: tissue-specific characterization.AJR 145:213–222, 1985 Solbiati L, Livraghi T, De Pra L, Ierace T, Masciadri N, Ravetto C: Fine-needle biopsy of hepatic hemangioma with sonographic guidance.AJR 144:471–474, 1985