Focal Hepatic LesionClinical HistoryA 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 calculiCase DescriptionUltrasound 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-upSince 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.SonogramsLeft hepatic lobe showing a 2.5 cm echogenic lesionColour Doppler imaging showing no evidence of flow within the lesion in the left hepatic lobeB-mode ultrasound showing the echogenic lesion in the left hepatic lobeAxial MRI showing the lesion in the left hepatic lobe, confirming it to be a haemangiomaPublished on: September 25, 2024
