• Classic imaging features of hepatic hemangiomas
• Hepatic hemangiomas’ atypical appearances on imaging
• Features of other uncommon hepatic lesions that simulate hemangiomas
• Importance of taking a history in indeterminate lesions
1. Classic imaging characteristics of hepatic hemangiomas
a. unenhanced CT
b. ultrasound
c. Tc-99m labeled RBC Scan
d. enhancement patterns
i. interrupted/nodular
ii. flash-filling
iii. incomplete-filling
iv. pathologic correlation
2. Atypical imaging appearances of hemangiomas
a. the bright-dot sign
b. intrahepatic arterio-portal shunting
c. capsular retraction
d. giant hemangiomas
e. hyalinized hemangiomas
f. hemangiomas in cirrhotic livers
3. Other uncommon hepatic lesions that may simulate hemangiomas
a. hepatic sarcomas
b. mucinous carcinoma metastasis
c. epitheliod hemangioendothelioma
d. peliosis hepatis
4. Importance of history taking
a. adenoid cystic carcinoma metastasis case
Firl, K,
Jha, R,
Hepatic Hemangiomas: Atypical Appearances and Imitators. Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL.
http://archive.rsna.org/2014/14011512.html