SONOWORLD : Hemangioma of the liver ultrasound case

Username

Password

175,595 Registered Members as of 08/21/2019.

JavaScript must be enabled in order for you to use Sonoworld.com in standard view. However, it seems JavaScript is either disabled or not supported by your browser. To use standard view, enable JavaScript by changing your browser options, then try again.

Other » Contrast Agents

Hemangioma of the liver CEUS

« Back to Listing

Author(s) :

Carla Serra, MD

M. Luigia Cipollini, MD

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