Revision 5 for 'Hepatic hemangioma (contrast-enhanced ultrasound)'

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Hepatic hemangioma : sonographic contrast

A CT of the abdomen was performed in this patient as part of his evaluation for fever of unknown origin.  The finding of a 5cm low density segment VI lesion (55 HU) raised the suspicion of a hepatic abscess.

Further evaluation with ultrasound demonstrates a homogeneously echogenic lesion.

Administration of sonographic contrast demonstrates the typical features of a hemangioma that usually require a multiphase CT: early peripheral nodular enhancement, centripetal filling and persistent enhancement on delayed images (note the subtle echogenicity of the mass relative to liver at 5:34 min).

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