55-year-old female with history of liver hemangioma.Additional history per EMR: This was diagnosed by outside hospital CT from 5/13/2015, showing an 8 x 7.8 cm hypodense mass in the porta hepatis extending to the inferior left lobe of the liver with irregular peripheral somewhat nodular enhancement within the mass. Probable 2 cm segment 6 hemangioma as well. ABDOMEN:LIVER, BILIARY TRACT: There is a 7.8 x 8.1 cm exophytic lesion in the caudate lobe demonstrating marked T2 hyperintense signal and peripheral discontinuous nodular enhancement iso-intense to blood pool with gradual central fill-in on postcontrast images, compatible with stated history of hemangioma. The lesion demonstrates mass effect onto the intrahepatic IVC.A small 2.1 cm peripheral right hepatic lobe segment 6 lesion demonstrates similar imaging characteristics, compatible with an additional hemangioma. No other focal hepatic lesion is identified.No biliary ductal dilatation.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant adrenal nodularity or thickening.KIDNEYS, URETERS: Bilateral simple cysts are noted. No hydronephrosis.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Two hepatic lesions are consistent with hemangiomas. The large caudate lobe hemangioma demonstrates mass effect upon the intrahepatic IVC which is patent.