Multiple anechoic hepatic nodules in a patient with malignant lymphoma: report of a case with an emphasis on B-mode sonograms

Autor: Yoko Ohyama, Chioko Yoshida, Naoko Kudoh, Takao Hoshino, Junko Konno, Takako Watanabe, Hideaki Ishida, Kayoko Furukawa, Hiroyuki Watanabe, Toshiki Sasaki
Rok vydání: 2008
Předmět:
Zdroj: Journal of Medical Ultrasonics. 35:191-195
ISSN: 1613-2254
1346-4523
DOI: 10.1007/s10396-008-0196-9
Popis: We present a case of hepatic malignant lymphoma (ML) in which the hepatic ML nodules were imaged as round anechoic nodules with posterior echo enhancement, mimicking hepatic cysts on B-mode ultrasonography (US). However, the boundary echo between the nodules and the surrounding hepatic tissue seemed to be less distinct than that of a hepatic cyst. Contrast-enhanced US showed the nodules to be hypervascular, which ruled out the possibility of hepatic cysts. Our observation stresses the importance of boundary echo for the diagnosis of hepatic ML on B-mode US. We also offer a possible explanation for this phenomenon.
Databáze: OpenAIRE