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Diagnostic Ultrasound - Abdomen and Pelvis

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Echogenic Liver Mass<br />

Differential Diagnoses: Liver<br />

(Left) Transverse ultrasound of<br />

the right lobe of the liver<br />

shows a typical hemangioma<br />

st, which is homogeneously<br />

echogenic with well-defined<br />

margins. (Right) Transverse<br />

ultrasound in a patient with<br />

mucinous colon cancer<br />

demonstrates multiple large,<br />

hyperechoic metastases ſt in<br />

the liver, containing diffuse<br />

echogenic foci related to<br />

subtle calcifications that<br />

exhibit posterior acoustic<br />

shadowing . Masses distort<br />

<strong>and</strong> compress the right portal<br />

vein st.<br />

Hepatic Cavernous Hemangioma<br />

Hepatic Metastases<br />

(Left) Transverse abdominal<br />

grayscale ultrasound in a<br />

patient with carcinoid tumor<br />

shows a round,<br />

homogeneously hyperechoic<br />

metastasis in the right lobe of<br />

liver ſt. (Right) Oblique<br />

abdominal ultrasound in a<br />

patient with melanoma shows<br />

a large, heterogeneously<br />

hyperechoic metastasis ſt in<br />

the liver abutting the hepatic<br />

capsule. Thin, hypoechoic<br />

peritumoral halo is present st,<br />

a finding often seen with<br />

hepatic metastases.<br />

Hepatic Metastases<br />

Hepatic Metastases<br />

(Left) Oblique abdominal<br />

grayscale ultrasound in a<br />

patient with liposarcoma<br />

shows a round,<br />

homogeneously hyperechoic<br />

metastasis along the margin<br />

of right lobe of liver ſt.<br />

(Right) Longitudinal<br />

abdominal ultrasound in a<br />

patient with bladder cancer<br />

shows multiple ill-defined,<br />

hyperechoic metastasis in the<br />

liver ſt.<br />

Hepatic Metastases<br />

Hepatic Metastases<br />

882

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