EURORAD ESR

Case 14498

Giant cavernous haemangioma with “flame-shaped” enhancement in female patient

Author(s)
D. Petrenko1, R. Ge Martins2

1. Medical center network "Scan Life Ltd.",
Pushkinska str. 80;
61000 Kharkiv; Ukraine;
e-mail:dpet@ukr.net

2. Private hospital "Hospital Icaraí",
Niterói/RJ; Brazil;
e-mail:ricardogemartins@yahoo.com.br
ricardoge.irad@gmail.com
 
Patient
female, 46 year(s)
 
 
  • Figure 1
    Axial MDCT scan during early arterial phase

    There is an ovoid lesion in SVI-VII of the liver (Couinaud classification) with extensive peripheral “flame-shaped” enhancement and presence of feeding arteries.

     
    Area of Interest: Liver; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Haemangioma;
     
     
  • Figure 2
    Axial MDCT scan during portal-venous phase

    “Flame-shaped” peripheral enhancement area is clearly defined, irregular rim of hypodense peritumoral oedema around the lesion.

     
    Area of Interest: Liver; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Haemangioma;
     
     
  • Figure 3
    Axial MDCT scan during delayed phase

    Incomplete opacification of the lesion.

     
    Area of Interest: Liver; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Haemangioma;
     
     
  • Figure 4
    Axial T1-weighted image

    There is an ovoid lesion in SVI-VII of the liver (Couinaud classification) with low signal intensity.

     
    Area of Interest: Liver; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Haemangioma;
     
     
  • Figure 5
    Axial T2-weighted image

    Ovoid lesion with high signal intensity surrounded by less hyperintense rim, consistent with peritumoral oedema.

     
    Area of Interest: Liver; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Haemangioma;
     
     
  • Figure 6
    Dynamic gadolinium-enhanced T1-weighted gradient-echo image

    “Flame-shaped” peripheral intake of gadolinium.

     
    Area of Interest: Liver; Imaging Technique: MR; Procedure: Contrast agent-intravenous; Special Focus: Haemangioma;
     
     
There is an ovoid lesion in SVI-VII of the liver (Couinaud classification) with extensive peripheral “flame-shaped” enhancement and presence of feeding arteries.
 
“Flame-shaped” peripheral enhancement area is clearly defined, irregular rim of hypodense peritumoral oedema around the lesion.
 
Incomplete opacification of the lesion.
 
There is an ovoid lesion in SVI-VII of the liver (Couinaud classification) with low signal intensity.
 
Ovoid lesion with high signal intensity surrounded by less hyperintense rim, consistent with peritumoral oedema.
 
“Flame-shaped” peripheral intake of gadolinium.
 
 
 
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