Focal Hepatic Lesion

Clinical History

A 49-year old man presented with right upper quadrant pain which was gradually worsening. The patient was referred to have an abdominal ultrasound to rule out gallbladder calculi

Case Description

Ultrasound was able to rule out the presence of gallbladder calculi. However, there was a 25 mm hyperechoic focal lesion in the left hepatic lobe with appearances suggestive of a haemangioma.

MRI of the liver was performed with contrast which confirmed this to be a haemangioma.

Diagnosis/ Discussion/ Treatment/ Follow up

Since hepatic haemangiomas are benign lesions, and in this case the lesion was not large, therefore, no further action was taken regarding this. The patient’s pre-existing symptoms were managed conservatively.

Sonograms