SonoWorld.com uses cookies to improve your experience on the site. Your continued use of the site constitutes your acceptance of use of cookies on this site.
Find out more about how SonoWorld uses cookies. I’m OK with Cookies from SonoWorld - stop showing me this banner.
×
 
168,157 Registered Members as of 10/22/2018.
Abdomen » Liver & Biliary System
Hemangioma of the liver CEUS
« Back to Listing
 
 
Presentation Patient with a known hyperechoic focal liver lesion, for CEUS study to characterize lesion.
 
 
 
Caption: Sagittal liver
Description: A large predominantly hyperechoic lesion is seen in the liver.
 
 
 
Caption: Post contrast injection: Arterial phase
Description: In the arterial phase a globular enhancement is visible at the margin of the lesion, slowly progressing centripetally towards the center of the lesion.
 
 
 
Caption: Portal-venous Phase
Description: In the portal-venous phase the lesion shows progressing contrast fill-in, becoming completely enhanced in the late phase.
 
 
Caption: Contrast-enhanced ultrasound video clip.
Description: 
 
Differential Diagnosis Metastasis, hemangioma, HCC, cholangiocarcinoma, adenoma
 
Final Diagnosis Hemangioma
 
Discussion This lesion exhibits a typical enhancement pattern of hemangioma.  Arterial phase: peripheral-nodular enhancement, no central enhancement.  In PV phase: partial/complete centripetal filling.  In Late phase: complete enhancement of lesion. 

Variations include rim enhancement in the arterial phase, and for small lesions, complete rapid centripetal enhancement.
Hemangiomas may have non-enhancing areas in late phase. (1)
 
Case References 1. EFSUMB study group et al.: Guidelines and Good Clinical Practice Recommendations for Contrast Enhanced Ultrasound (CEUS) - Update 2008  http://www.efsumb.org/mediafiles01/ceus-guidelines2008.pdf
 
Technical Details Contrast Agent: SonoVue (Bracco)
 
Other Cases in This Category