25eb Large symptomatic hemangiomas may present as palp

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Ears as solitary or multiple hypervascular masses that typically have a central feeding vessel emanating from the region of the central scar and a stellate pattern of increased vascularity. In some patients, the vascular supply may arise peripherally and enter directly into the mass without a spoked-wheel effect. The appearance of focal nodular hyperplasia on ct and ultrasound is often nonspecific. The lesion usually appears as a low-density mass on noncontrast ct scans and often demonstrates significant enhancement following the intravenous administration of contrast material. Occasionally, the central scar may be large enough to appear as a relatively low density stellate area within a generally enhancing mass. On ultrasound, focal nodular hyperplasia may appear as hypoechoic or hy-pereciioic regions or as areas of mixed echogenicity. The presence of kupffer cells within the mass of focal nodular hyperplasia permits a variable degree of isotope uptake on radionuclide scans, ranging from a focus of decreased uptake to an area of increased activity compared with the normal surrounding parenchyma. cheapcialisforsalenjl.accountant www.jidoushahoken-guide.jp The normal uptake of 99mtc sulfur colloid virtually excludes other hepatic neoplasms that do not contain kupffer cells. Hemangioma cavernous hemangiomas are the most common benign tumors of the liver. Most are single, small, and asymptomatic and are found incidentally at surgery or autopsy or during unrelated radiographic procedures. Large symptomatic hemangiomas may present as palpable masses; spontaneous rupture infrequently causes massive intraperitoneal hemorrhage. Hepatic ar. back to home