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)

Clinical Info

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)

Focal nodular hyperplasia with a well defined slightly hypoechoic mass with typical radial vascularity
Focal nodular hyperplasia with a well defined slightly hypoechoic mass with typical radial vascularity
Hepatic adenoma
Hepatic adenoma
Hepatic adenoma
Hepatic adenoma
Hepatic adenoma
Hepatic adenoma
Hepatic adenoma
Hepatic adenoma
Hepatic adenoma
Hepatic adenoma
Hepatic adenoma
Hepatic adenoma
Hepatic adenoma
Hepatic adenoma

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

Hypoechoic liver lesions undergoing hemorrhage and necrosis, that initially were interpreted as metastases but that be proved to be adenomas (first examination without hemorrhage)
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
Hepatic adenoma
Hepatic adenoma
Hepatic adenoma
Hepatic adenoma
Hepatic adenoma
Hepatic adenoma
Hepatic adenoma
Hepatic adenoma
Hepatic adenoma
Hepatic adenoma
Hepatic adenoma
Hepatic adenoma
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
Enhancement in the early phase
Enhancement in the early phase
Enhancement in the early phase
Enhancement in the early phase
Enhancement in the early phase
Late phase
Late phase

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

Late phase
Late phase
Hepatic adenoma
Hepatic adenoma
Hepatic adenoma
Hepatic adenoma
Hepatic adenoma
Hepatic adenoma

Details

  • Sex: Female
  • Age: 50
  • Body part: Liver

Created with

  • Hitachi Ultrasound System