Thursday, August 10, 2023

An echogenic liver lesion


15 mm Hemangioma in a Young Adult with Hematemesis

Possible differential diagnoses for an echogenic patch, not showing vascularity, in right lobe liver near gallbladder fossa:


* Hepatic hemangioma: This is the most common benign liver tumor. It is typically a well-defined, homogeneous, echogenic mass that does not show vascularity on ultrasound.

*Focal nodular hyperplasia (FNH): This is a benign liver tumor that is typically < 5 cm in size. It is often hyperechoic on ultrasound and may show some vascularity.

* Metastasis: Metastases to the liver can be echogenic, but they are more likely to be hypoechoic or heterogeneous on ultrasound. They may also show some vascularity.

* Abscess: An abscess in the liver can be echogenic, but it is more likely to be hypoechoic or heterogeneous on ultrasound. It may also show some vascularity.

*Cholesterolosis: Cholesterolosis is a benign condition that causes cholesterol deposits to build up in the liver. It can appear as multiple echogenic foci on ultrasound. 

Final diagnosis: small hemangioma liver 


All about liver hemangioma:
A hemangioma is a benign tumor that is made up of blood vessels. It is the most common type of liver tumor, accounting for up to 70% of all liver tumors. Hemangiomas are typically small and asymptomatic, but they can sometimes grow large enough to cause symptoms, such as pain, abdominal swelling, and jaundice.

In rare cases, hemangiomas can rupture and cause bleeding, which can lead to hematemesis. Hematemesis is the vomiting of blood. It is a serious medical condition that requires immediate medical attention.

A 15 mm hemangioma is considered to be a small hemangioma. It is unlikely to cause any symptoms or complications. However, it is important to monitor the hemangioma for any signs of growth or change.

If a hemangioma is detected on ultrasound imaging, it will appear as an echogenic lesion with no internal vascularity. Echogenic means that the lesion reflects sound waves well, and no internal vascularity means that there are no blood vessels within the lesion.

The prognosis: for a 15 mm hemangioma is excellent. The vast majority of small hemangiomas will never cause any problems and do not require treatment. 

Here are some additional points to note about hemangiomas:

* Hemangiomas are more common in women than in men.
* They are most common in people between the ages of 20 and 50 years old.
* The cause of hemangiomas is unknown.
* Hemangiomas are usually harmless and do not require treatment.
* However, large or symptomatic hemangiomas may require treatment, such as surgery, embolization, or laser therapy.

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