Metastases

Liver metastases of a pancreatic carcinoma of the tail of the pancreas with hyper-echoic and iso-echoic lesions. The hyperechoic lesions could be mistaken for hemangiomas, but are hypoechoic in the late phase of CEUS and proved to be metastases.

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Clinical information

Incidental finding

Ultrasound Images & Clips

Liver metastases of a pancreatic carcinoma of the tail of the pancreas with hyper-echoic and iso-echoic lesions. The hyperechoic lesions could be mistaken for hemangiomas, but are hypoechoic in the late phase of CEUS and proved to be metastases.

Hyper-echoic lesions

Iso-echoic lesion

Liver metastases of a pancreatic carcinoma of the tail of the pancreas with hyper-echoic and iso-echoic lesions. The hyperechoic lesions could be mistaken for hemangiomas, but are hypoechoic in the late phase of CEUS and proved to be metastases.

The iso-echoic lesion is vascularized

CEUS with multiple hypoechoic lesions in the late phase

Hypoechoic lesions in the late phase

Liver metastases of a pancreatic carcinoma of the tail of the pancreas - CT scan

Metastases

Details

Sex: Male
Age: 49
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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