CASE 105

History: A 34-year-old woman presents with right upper quadrant discomfort.

1. Which of the following should be included in the differential diagnosis of the imaging finding shown in Figures A to C? (Choose all that apply.)

A. Adenoma

B. Hepatoma

C. Giant cyst

D. Metastasis

E. Hemangioma

2. Which of the following statements regarding clinical features of hepatic hemangiomas is true?

A. They are usually solitary.

B. There is equal sex incidence.

C. They are found with increasing incidence with age.

D. The most common symptom is right upper quadrant discomfort.

3. Which of the following imaging descriptions suggest hepatic hemangioma?

A. On ultrasound, they are usually hypoechoic with slight distal acoustic enhancement.

B. On CT, centrifugal progressive enhancement is diagnostic.

C. On MRI, marked hyperintensity on T1-weighted images is characteristic.

D. On nuclear scintigraphy scans with tagged red blood cells, there is early phase defect with delayed fill in.

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