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 Left hepatic lobe showing a 2.5 cm echogenic lesion Colour Doppler imaging showing no evidence of flow within the lesion in the left hepatic lobe B-mode ultrasound showing the echogenic lesion in the left hepatic lobe Axial MRI showing the lesion in the left hepatic lobe, confirming it to be a haemangioma Published on: September 25, 2024
