Three patients with incidental found liver lesions examined for SONOZORG a primary care ultrasound facility. The lesions look very different from hypoechoic to hyperechoic. Can it be the same type of lesion in all three patients?
All the lesions proved to be haemangiomas. If you look a the echogenicity of the liver parenchyma you will notice that the first patient has a fatty liver. The last patient has a very normal liver parenchyma.
Hemangiomas usually are hyperechoic but they can be hypoechoic or have a mixed density. Contrast ultrasound or a CT scan with contrast usually will confirm the nature of the lesion
Dr. Taco Geertsma is the founder of UltrasoundCases.info and a retired radiologist and has worked in the Gelderse Vallei hospital from January 1, 1983. till July 1, 2014. He was the head of the ultrasound department for many years.
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