When Benign Behaves Badly: Atypical Hemangiomas on Contrast-Enhanced Ultrasonography

Melanie P. Caserta, David T. Fetzer, Jordan K. Swensson, Shuchi K. Rodgers, James H. Boyum

Research output: Contribution to journalArticlepeer-review


Hemangioma is the most common benign liver tumor and is frequently encountered as an incidental finding on imaging. The classic enhancement pattern of hemangioma is diagnostic on contrast-enhanced ultrasound (CEUS), and it follows the same pattern of enhancement on computed tomography and magnetic resonance imaging. However, there is a subset of hemangiomas that demonstrate atypical enhancement patterns on CEUS. The ability to recognize the different enhancement patterns and discern when additional imaging or biopsy may be necessary is essential to accurately interpret an atypical hemangioma on CEUS. This article reviews various enhancement patterns of hemangioma on CEUS to avoid pitfalls in characterization of focal liver lesions on CEUS.

Original languageEnglish (US)
Pages (from-to)133-141
Number of pages9
JournalUltrasound Quarterly
Issue number2
StatePublished - Jun 3 2022


  • capillary
  • cavernous
  • CEUS
  • hemangioma
  • sclerosed
  • ultrasound
  • washout

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging


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