Transient washout of hepatic hemangiomas: Potential pitfall mimicking malignancy

Abstract Hemangiomas are the most common tumor of the liver and distinguishing them from malignancy is important. This is a report of 3 hemangiomas in 2 patients that exhibit transient washout of gadoxetate disodium (Eovist), relative to blood pool and liver parenchyma, a characteristic that is used...

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Bibliographic Details
Published inRadiology case reports Vol. 11; no. 2; pp. 62 - 66
Main Authors Becker-Weidman, David J.S., MD, Hope, Thomas A., MD, Doshi, Pooja H., MD, Patel, Anuj, MD, Mitchell, Donald G., MD
Format Journal Article
LanguageEnglish
Published Netherlands Elsevier 01.06.2016
Subjects
Case Report
Eovist
High-flow hepatic hemagioma
MRI
Radiology
Washout
High-flow hepatic hemagioma
MRI
Washout
Eovist
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Summary:Abstract Hemangiomas are the most common tumor of the liver and distinguishing them from malignancy is important. This is a report of 3 hemangiomas in 2 patients that exhibit transient washout of gadoxetate disodium (Eovist), relative to blood pool and liver parenchyma, a characteristic that is used to diagnose hepatocellular carcinoma in at-risk patients. It is important to recognize that high-flow hemangiomas can exhibit transient washout when using a small volume of injected contrast agent. This finding is unlikely to be present on CT examinations because of the larger volume of contrast administered.
ISSN:1930-0433
1930-0433
DOI:10.1016/j.radcr.2016.02.010