Presentation
Referred with iron deficiency anaemia. Indeterminate, hypoattenuating liver lesion on portal venous phase CT.
Patient Data
Age: 85 years
Gender: Female
From the case:
Slow filling cavernous liver haemangioma (CEUS)
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Homogeneous, hyperechoic lesion of 4 cm in the right liver lobe on conventional ultrasound.
No obvious vascularity on colour Doppler imaging.
Irregular, peripheral early arterial contrast enhancement (CEUS video).
Followed by continuous centripetal filling, that is incomplete even in the late phase.
Case Discussion
Typical cavernous haemangioma with a central non-enhancing area.
The arterial enhancement pattern is pathognomonic on contrast-enhanced ultrasound.