Radiology Case Reports (Jun 2016)

Transient washout of hepatic hemangiomas: Potential pitfall mimicking malignancy

  • David J.S. Becker-Weidman, MD,
  • Thomas A. Hope, MD,
  • Pooja H. Doshi, MD,
  • Anuj Patel, MD,
  • Donald G. Mitchell, MD

DOI
https://doi.org/10.1016/j.radcr.2016.02.010
Journal volume & issue
Vol. 11, no. 2
pp. 62 – 66

Abstract

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Hemangiomas are the most common tumor of the liver and distinguishing them from malignancy is important. This is a report of 3 hemangiomas in 2 patients that exhibit transient washout of gadoxetate disodium (Eovist), relative to blood pool and liver parenchyma, a characteristic that is used to diagnose hepatocellular carcinoma in at-risk patients. It is important to recognize that high-flow hemangiomas can exhibit transient washout when using a small volume of injected contrast agent. This finding is unlikely to be present on CT examinations because of the larger volume of contrast administered.

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