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Fig. 2A. Hemangioma in 53-year-old woman with hepatic steatosis.
Transverse native B-mode sonogram (upper left) shows heterogeneous and
hypoechoic mass with subtle hypoechoic rim (arrows) in steatotic
liver. On color Doppler sonogram (upper middle), spotty vascularities are
noted at periphery of lesion. This was considered to be indeterminate lesion
by both radiologists and was classified as malignant lesion. It could not be
assigned specific diagnosis on baseline sonography. Serial contrast-enhanced
agent detection images obtained 18 sec (upper right), 34 sec (lower left), 88
sec (lower middle), and 3 min (lower right) after contrast injection show
peripheral globular enhancement with progressive centripetal fill-in
(arrows). This lesion was correctly diagnosed as hemangioma on basis
of features of contrast-enhanced sonography by both radiologists.