General examination. Ultrasound shows a large mass in segment V of the liver, suspicious of hepatocellular carcinoma.
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Non-enhanced CT shows multiple hypoattenuation masses in the liver. The biggest mass is in the V segment. The arterial phase shows discontinuous, nodular, peripheral enhancement. The portal venous phase shows progressive peripheral enhancement with the central fill-in. The delayed phase shows homogenous hyperattenuation enhancement. No mass in the pancreas and spleen is seen. No evidence of enlarged lymph node.
These typical findings suggest multiple hepatic hemangiomas.