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September 2012

Focal liver lesion
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Clinical information

Pain in the right upper abdomen

Ultrasound Images & Clips

Focal liver lesion

There is an inhomogeneous focal liver lesion
There is an inhomogeneous focal liver lesion
Another image of the same lesion
Another image of the same lesion
There is peripheral vascularity
There is peripheral vascularity
There is also vascularity within the lesion
There is also vascularity within the lesion
CT scan of the lesion
CT scan of the lesion
CT scan late phase
CT scan late phase
CT scan late phase
CT scan late phase
Ultrasound scan of a 32 year old female patient also using oral contraceptives. She had severe pain in the right abdomen
Ultrasound scan of a 32 year old female patient also using oral contraceptives. She had severe pain in the right abdomen
Another image of the same patient. The liver is very inhomogeneous and there is a perihepatic hematoma. In this case again our initial diagnosis was hemorrhage of an adrenal adenoma. The patient went inmediately to the CT scan
Another image of the same patient. The liver is very inhomogeneous and there is a perihepatic hematoma. In this case again our initial diagnosis was hemorrhage of an adrenal adenoma. The patient went inmediately to the CT scan
There is a large perihepatic hematoma
There is a large perihepatic hematoma
CT without contrast
CT art phase
CT
CT late phase
Ultrasound scan of a 36 year old patient with slightly hypoechoic but homogeneous mass lesions also using oral contraceptives. The lesions were incidental findings.
Ultrasound scan of a 36 year old patient with slightly hypoechoic but homogeneous mass lesions also using oral contraceptives. The lesions were incidental findings.
A second lesion with identical features
A second lesion with identical features
The lesion is vascularized
The lesion is vascularized
The second lesion is also vascularized
The second lesion is also vascularized
CT
CT art phase
CT Late phase

Conclusion

When a liver lesion is found in a young female patient who uses oral contraceptives always think of a liver adenoma. Liver adenomas can cause a hemorrhage that can be minor as in the first patient or very severe as in the second case.

Details

  • Sex: Female
  • Age: 22
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photo Taco Geertsma
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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