Presentation
Abdominal pain for work-up.
Patient Data
Age: 40 years
Gender: Female
From the case:
Giant hepatic hemangioma
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Round well-circumscribed heterogeneous mass iso-to-hypoechoic to background parenchyma without color Doppler fill.
From the case:
Giant hepatic hemangioma
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Right liver hypodense lesion with arterial phase peripheral incomplete enhancement with progressive but incomplete centripetal nodular filling. No other focal liver lesion. Small region of focal fatty infiltration adjacent to ligamentum teres.
Case Discussion
Hepatic hemangiomas can be termed "giant" when large, although the measurement described in the literature can be variable between >4 cm to >10 cm. They have a different appearance on ultrasound compared to "non-giant" hepatic hemangiomas appearing less echogenic and more heterogeneous in echotexture.
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