EURORAD ESR

Case 12775

Reduction in size of hepatic haemangiomas following chemotherapy

Author(s)
Nazleen Muhammad Gowdh, Lutfi Kurban, Graham Macdonald

Aberdeen Royal Infirmary
Department of Radiology
Foresterhill AB25 2ZN
Aberdeen, UK
Email:n.muhammadgowdh@nhs.net
 
Patient
male, 26 year(s)
 
 
  • Figure 1
    Patient A - Initial ultrasound

    Echogenic lesion in the right lobe of the liver consistent with a haemangioma.

     
    Area of Interest: Liver; Imaging Technique: Ultrasound; Procedure: Staging; Special Focus: Haemangioma;
     
     
  • Figure 2
    Patient A - Initial staging CT

    Staging CT showing a low attenuation lesion in segment VII of the liver which corresponds to the lesion seen on ultrasound.

     
    Area of Interest: Liver; Imaging Technique: CT; Procedure: Staging; Special Focus: Haemangioma;
     
     
  • Figure 3
    Patient A - Initial MRI
     

    Low T1 signal lesion in segment VII.

     
    Area of Interest: Liver; Imaging Technique: MR; Procedure: Staging; Special Focus: Haemangioma;

    High T2 signal lesion in segment VII.

     
    Area of Interest: Liver; Imaging Technique: MR; Procedure: Staging; Special Focus: Haemangioma;

    Post-contrast images show peripheral nodular enhancement of the lesion in segment VII.

     
    Area of Interest: Liver; Imaging Technique: MR; Procedure: Staging; Special Focus: Haemangioma;

    Filling-in of the lesion on delayed post-contrast images. MR appearances are consistent with a haemangioma.

     
    Area of Interest: Liver; Imaging Technique: MR; Procedure: Staging; Special Focus: Haemangioma;
     
     
  • Figure 4
    Patient A - Post-treatment MRI

    Delayed post-contrast MRI following chemotherapy demonstrates a reduction in size of the haemangioma when compared with figure 3d.

     
    Area of Interest: Liver; Imaging Technique: MR; Procedure: Comparative studies; Special Focus: Haemangioma;
     
     
  • Figure 5
    Patient B - Pre and post-chemotherapy CT
     

    Pre-chemotherapy CT demonstrates initial size of haemangioma.

     
    Area of Interest: Liver; Imaging Technique: CT; Procedure: Comparative studies; Special Focus: Haemangioma;

    Post-chemotherapy CT demonstrates a reduction in size of the haemangioma.

     
    Area of Interest: Liver; Imaging Technique: CT; Procedure: Comparative studies; Special Focus: Haemangioma;
     
     
Echogenic lesion in the right lobe of the liver consistent with a haemangioma.
 
Staging CT showing a low attenuation lesion in segment VII of the liver which corresponds to the lesion seen on ultrasound.
 
Low T1 signal lesion in segment VII.
 
High T2 signal lesion in segment VII.
 
Post-contrast images show peripheral nodular enhancement of the lesion in segment VII.
 
Filling-in of the lesion on delayed post-contrast images. MR appearances are consistent with a haemangioma.
 
Delayed post-contrast MRI following chemotherapy demonstrates a reduction in size of the haemangioma when compared with figure 3d.
 
Pre-chemotherapy CT demonstrates initial size of haemangioma.
 
Post-chemotherapy CT demonstrates a reduction in size of the haemangioma.
 
 
 
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