Hepatic Hemangiomas

• Incidental detection of two hepatic focal lesions seen by ultrasound during evaluation of Abdominal pain, sent for further characterization by triphasic CT.

• A: Ultrasound:

Two well-defined macrolobulated hyperechoic hepatic focal lesions

• B: Non contrast CT:
  • Two well-circumscribed homogeneously hypoattenuating hepatic focal lesions were seen at segment IVa and VII
• C: Post contrast Triphasic CT:
  • On the early arterial phase, both lesions show discontinuous, nodular, progressive peripheral enhancement with more centripetal fill-in on the portovenous phase and delayed phases.

• It is important to differentiate hemangiomas from hepatic malignancy on different imaging modalities.
• The discussed case shows the typical features of hemangioma on Ultrasound & CT.
• Being familiar with the typical criteria make it easy for you to give the proper diagnosis.