Presentation
Hepatic mass
Patient Data
Large hypodense lesion with central hypodensity & calcific areas showing peripheral nodular enhancement in the portal venous phase and heterogeneous centripetal filling in the delayed phase involving right hepatic lobe. It measures approximately 22 x 17 cm.
Small hypodense lesion seen in the left lobe with homogenous centripetal filling in the delayed phase.
Hypodense non-enhancing lesion in the left lobe likely cyst.
Right portal vein branch is obliterated likely compressed by the mass.
Case Discussion
The typical enhancement pattern of hemangioma is a peripheral nodular discontinuous enhancement that gradually fills centrally and follows aortic attenuation (same as for smaller hemangiomas).
Contrast filling may be slow and the central portions may never demonstrate complete contrast fill in. Occasionally, they may exhibit minimal contrast enhancement.
The case demonstrated has large central fibrous scar and doesn't show complete contrast fill in. However; small hemangioma seen in the left lobe with homogenous centripetal filling.
Unable to process the form. Check for errors and try again.