Presentation
Abdominal pain.
Patient Data
A peripheral, dense, spotty enhancing mass, approximately 240×135 mm in diameters, is seen at right liver lobe, on early post contrast phase. In the equilibrium phase, the attenuated areas spread through the mass and partially filling in. The density of enhancing components is almost the same as that of the aorta in all phases of CT scan.
A few sub-centimeter simple cortical cysts are seen at kidneys.
Fat containing paraumbilical hernia is present.
Few atelectatic bands are scattered in both lung fields.
A little amount of pleural effusion is noted on the right side.
Degenerative changes as osteophytes are seen at the thoracic and lumbar spine.
Case Discussion
Huge hepatic mass; most consistent with giant hemangioma, also known as giant hepatic venous malformation. It shows central areas of low attenuation reflecting central breakdown, responsible for the heterogeneous appearance and lack of central enhancement in delayed phases.
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