Multiple biliary hamartomas
Incidental finding during general ultrasound.
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Liver ultrasound demonstrates multiple small foci with comet tail artefacts. With the high frequency transducer, a focus is located adjacent to a portal vein branch, indicating a possible biliary origin.
2 case question available
Multiple small foci with comet tail artefact on ultrasound is a typical appearance for multiple biliary hamartomas. Other differentials to consider include: metastases, multiple abscesses, and calcifications. Other modalities such as MRI, would be helpful for further evaluation.
- 1. Zheng RQ, Kudo M, Onda H et-al. Imaging findings of biliary hamartomas (von Meyenburg complexes). J Med Ultrason (2001). 2005;32 (4): 205. doi:10.1007/s10396-005-0051-1 - Pubmed citation
- 2. Zheng RQ, Zhang B, Kudo M et-al. Imaging findings of biliary hamartomas. World J. Gastroenterol. 2006;11 (40): 6354-9. Free text at pubmed - Pubmed citation