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Fig. 2B —70-year-old woman with hepatic steatosis and high-flow hemangioma with arterioportal shunt. Peritumoral sparing of fatty infiltration is present around hemangioma. Color Doppler sonogram shows vigorous intratumoral blood flow (long arrows). Reversed blood flow in portal branch (short arrows) parallel to feeding artery suggests presence of high-flow hemangioma with arterioportal shunt.