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Frequency and Imaging Appearance of Hepatic Angiomyolipomas in Pediatric and Adult Patients with Tuberous Sclerosis

Bradley L. Fricke1, Lane F. Donnelly1,2, Keith A. Casper1 and John J. Bissler2

1 Department of Radiology, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave., Cincinnati, OH 45229-3039.
2 Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229-3039.



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  		Fig. 1A. —16-year-old girl with tuberous sclerosis and hepatic angiomyolipomas. Axial sonogram through liver shows multiple lesions (arrows) that are round and hyperechoic.

 


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  		Fig. 1B. —16-year-old girl with tuberous sclerosis and hepatic angiomyolipomas. Axial sonogram through liver obtained at different level than A also reveals multiple lesions (arrows).

 


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  		Fig. 2A. —21-year-old woman with tuberous sclerosis and hepatic angiomyolipomas. Contrast-enhanced CT scan obtained at mid liver reveals multiple liver lesions (arrows) that are round, well-defined, and of attenuation equal to that of fat.

 


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  		Fig. 2B. —21-year-old woman with tuberous sclerosis and hepatic angiomyolipomas. Contrast-enhanced CT scan obtained more inferior than A also reveals multiple liver lesions (arrows).

 


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  		Fig. 3A. —22-year-old woman with tuberous sclerosis and hepatic angiomyolipomas. Contrast-enhanced CT scan reveals solitary liver lesion (arrow) and bilateral renal angiomyolipomas.

 


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  		Fig. 3B. —22-year-old woman with tuberous sclerosis and hepatic angiomyolipomas. Contrast-enhanced CT scan at different level than A reveals multiple liver lesions (arrows) and bilateral renal angiomyolipomas.

 

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