Hepatic adenoma

Hypoechoic liver lesions undergoing hemorrhage and necrosis, that initially were interpreted as metastases but that be proved to be adenomas (first examination without hemorrhage)

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Clinical information

Incidental finding

Ultrasound Images & Clips

Hypoechoic liver lesions undergoing hemorrhage and necrosis, that initially were interpreted as metastases but that be proved to be adenomas (first examination without hemorrhage)

Hepatic adenoma

The same patient a month later. The large lesion shows hemorrhage and necrosis the smaller lesions remain the same.

Hepatic adenoma

The small lesions show enhancement in the early phase and are isodense in the late phase. The large lesion with hemorrhage stays hypodense in the early and late phase.

Enhancement in the early phase

Late phase

The same patient a few months later. The lesions have diminished in size after discontinuation of the use of oral contraceptives.

Hepatic adenoma

Details

Sex: Female
Age: 50
Body part: Liver

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Author

Dr. Taco Geertsma

Retired Radiologist, Gelderse Vallei Hospital

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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