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Fig. 2A. 41-year-old woman with symptomatic giant hemangioma referred for
imaging before hepatic resection. MDCT angiogram was interpreted as showing
conventional arterial anatomy (Michels type I
[14]). Cloudlike regions of
high attenuation (arrows) in liver are due to characteristic
enhancement pattern of hemangioma (HEM). At surgery, small accessory left
lateral segmental artery was found to arise from left gastric artery (LGA).
Although left gastric artery can be identified, small accessory left hepatic
artery is not visualized. Residual barium (BA) is seen in hepatic flexure of
colon. CHA = common hepatic artery, SA = splenic artery.