Multiple liver masses, known case of hepatoma

Multiple echogenic liver masses in a known case of hepatoma. 

Multi-focal hepatoma is characterized by multiple echogenic liver masses on sonography. 

The hepatoma masses are of varying sizes, as seen on the ultrasound images above. 

Color Doppler ultrasound shows multiple areas of neo-vascularity with large vessels surrounding the liver masses. 

But observe the two lower images 👆.

Internal vascularity is present within the masses. 

Final diagnosis: multi-focal hepatoma or hepatocellular carcinoma. 

Differential diagnosis:

Possibilities include liver metastasis and focal nodular hyperplasia. 

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Sonography of liver