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DOI:10.2214/AJR.06.1076
AJR 2007; 189:67-72
© American Roentgen Ray Society

Clinical Observations

Imaging Features of Sclerosed Hemangioma

Deirdre J. Doyle1, Korosh Khalili1, Maha Guindi2 and Mostafa Atri3

1 Department of Medical Imaging, University Health Network and Mount Sinai Hospital, 610 University Ave., Toronto, Ontario, M5G 2M9, Canada.
2 Department of Pathology, University Health Network and Mount Sinai Hospital, Toronto, Ontario, Canada.
3 Department of Medical Imaging, Sunnybrook and Women's Hospital, Toronto, Ontario, Canada.

OBJECTIVE. The purpose of this study was to review the imaging features of sclerosed hemangioma.

CONCLUSION. In our series, suggestive features of sclerosed hemangiomas include geographic outline, capsular retraction, decrease in size over time, and loss of previously seen regions of enhancement. Additional features include presence of transient hepatic attenuation difference (THAD), rim enhancement, and nodular regions of intense enhancement as seen in typical hemangiomas. Although not pathognomonic, some features of sclerosed hemangioma can suggest it as a diagnostic possibility and lead to biopsy rather than more extensive intervention.

Keywords: abdominal imaging • CT • liver • MRI • radiologic–pathologic correlation


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