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In the pre-existing liver cirrhosis, the baseline B-mode examination demarcates a heterogenic liver lesion, measuring 5.5 x 5.1 cm
The lesion shows no internal signal flow in the color Doppler and power Doppler examination.
Following the intravenous administration of contrast agent, the lesion demonstrated peripheral nodular enhancement, progressing in a centripetal direction, areas of thrombosis and no washout during the entire examination
63-y/o male patient with clinical background of cirrhosis and ascites is referred to our department for a sonographic liver staging.
The typical CEUS feature of a hemangioma is peripheral, discontinuous nodular (syn.: globular) enhancement in the arterial phase with progressive centripetal partial or complete fill-in.
Complete fill-in occurs only in 40–50 % cases during the late phase. This filling-in is often faster in smaller lesions and the entire lesion may be hyperenhancing in the arterial phase
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