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    Your diagnosis?

    Test your radiological knowledge and diagnose this case!

      >>> Thumbnail Gallery

      History:
      Clinical finings:
      Klinische Befunde:
      15 months old girl (Down syndrome, s/p acute myeloic leucemia) underwent oncologic follow up where a 3 cm solid and oval shaped liver mass in segment VIII was detected..
      Clinically, the girl is unremarkable and labs, including AFP were normal.

      Radiological findings:

      Ultrasound 1 :: View Ultrasound 1 in Toolbox ::
      Click on the thumbnail to view the image in large


      Ultrasound 1:
      Solid liver lesion in liver segment VIII with mild displacement of right hepatic vein and IVC. Size of liver mass ca. 3,4 x 3 cm.




      Ultrasound 2 :: View Ultrasound 2 in Toolbox ::
      Click on the thumbnail to view the image in large


      Ultrasound 2:
      Color doppler ultrasound does not demonstrate increased vascularity.




      Ultrasound 3 :: View Ultrasound 3 in Toolbox ::
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      Ultrasound 3:
      Contrast enhanced sonography, arterial phase 17 sec. after Sonovue-i.v. application. The lesion demonstrates an early and strong centrifugal arterial enhancement. Also noted is a feeding arterial vessel.




      Ultrasound 4 :: View Ultrasound 4 in Toolbox ::
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      Ultrasound 4:
      Late phase 120 sec. after contrast application. The lesion is not discernable anymore from the surrounding liver parenchyma. Thus no evidence of a malignant liver lesion.



      Watch video


      Video:
      Contrast enhanced sonography (CEUS) of the liver, arterial phase 5-20 sec. after Sonovue bolus. Very early and strong centrifugal arterial enhancement. Also noted is a feeding arterial vessel.




    Thumbnail Gallery

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