6 week old female with diffuse mucocutaneous hemangiomas and concern for liver involvement vs angiosarcoma of liver. ABDOMEN:LIVER, BILIARY TRACT: Hepatomegaly with innumerable enhancing T2 heterogeneous lesions of varying sizes containing flow voids. The largest are as follows:1. Segment 8 lesion measures 7.7 x 4.0 x 4.4 cm (series 30, image 27).2. Segment 4 lesion measures 2.3 x 1.6 x 2.0 cm.3. Segment 6 lesion measures 3.5 x 2.1 x 2.7 cm.There is no intra or extrahepatic hepatic biliary ductal dilatation. The gallbladder is normal in appearance. Hepatic veins and hepatic artery are enlarged. The aorta below the superior mesenteric artery is of small caliber. The IVC at the level of the hepatic veins and above is large in caliber.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: The right kidney is displaced inferiorly secondary to hepatomegaly. The kidneys are normal in appearance. RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Cardiomegaly, with a right ventricular hypertrophy. T2 hyperintense lesion at the right posterior cardiophrenic recess measuring 1.2 x 0.8 cm, may represent a bronchogenic cyst or other cyst. The inferior vena cava measures 2.1 x 1.5 cm. The aorta at the same level measures 0.8 x 0.7 cm. Bibasilar subsegmental atelectasis.
Innumerable T2 hyperintense enhancing hepatic high flow lesions, compatible with hemangioendotheliomas. Cardiomegaly, secondary to high flow.