EURORAD ESR

Case 1348

A giant haemangioma: an incidental finding

Author(s)
V. Bizimi, V. Katsiva, E. Kailidou, G. Douridas(*), M.Tibishrania
 
Patient
male, 46 year(s)
 
 
  • Figure 1
    Unenhanced abdominal CT scan

    A large, sharply demarcated, hypodense lesion with a centrally located more hypodense area is shown. Multiple small hypodense lesions are also demonstrated.

     
    Area of Interest: unknown; Imaging Technique: Unenhanced abdominal CT scan;
     
     
  • Figure 2
    Abdominal CT scan after IV contrast administration
     

    During the enhanced CT, the large lesion exhibits small peripheral globular areas of hyperdensity. Some of the small lesions also show peripheral hyperdensity.

     
    Area of Interest: unknown; Imaging Technique: Abdominal CT scan after IV contrast administration;

    During the late phase of enhanced CT, the large lesion remains hypodense with the centrally located areas of fibrosis, which remain unenhanced, appearing more hypodense.

     
    Area of Interest: unknown; Imaging Technique: Abdominal CT scan after IV contrast administration;
     
     
  • Figure 3
    Delayed post-contrast CT scan

    Some of the small lesions show complete contrast medium filling, some show peripheral enhancement and some show no enhancement.

     
    Area of Interest: unknown; Imaging Technique: Delayed post-contrast CT scan;
     
     
  • Figure 4
    Selective hepatic angiogram
     

    Arterial phase of a DSA showing the hepatic artery and staining of the multiple lesions.

     
    Area of Interest: unknown; Imaging Technique: Selective hepatic angiogram;

    Late phase of a DSA showing that the capillary stain persists late.

     
    Area of Interest: unknown; Imaging Technique: Selective hepatic angiogram;
     
     
  • Figure 5
    Contrast-enhanced MRI

    Globular peripheral enhancement of the large lesion and peripheral enhancement of the smaller lesions is demonstrated.

     
    Area of Interest: unknown; Imaging Technique: Contrast-enhanced MRI;
     
     
A large, sharply demarcated, hypodense lesion with a centrally located more hypodense area is shown. Multiple small hypodense lesions are also demonstrated.
 
During the enhanced CT, the large lesion exhibits small peripheral globular areas of hyperdensity. Some of the small lesions also show peripheral hyperdensity.
 
During the late phase of enhanced CT, the large lesion remains hypodense with the centrally located areas of fibrosis, which remain unenhanced, appearing more hypodense.
 
Some of the small lesions show complete contrast medium filling, some show peripheral enhancement and some show no enhancement.
 
Arterial phase of a DSA showing the hepatic artery and staining of the multiple lesions.
 
Late phase of a DSA showing that the capillary stain persists late.
 
Globular peripheral enhancement of the large lesion and peripheral enhancement of the smaller lesions is demonstrated.
 
 
 
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