Clinical Presentation

A newborn with an abdominal mass.

Further Work-up

(A) Frontal radiograph of the chest demonstrates cardiomegaly and hepatomegaly. (B,C) Gray-scale and Doppler images of the liver demonstrate multiple hypoechoic lesions (arrows). There is high flow around and within the lesion. (D,E) Early and late post-contrast axial computed tomography (CT) images demonstrate a difference in the caliber of the aorta above and below the celiac artery, as well as multiple hypodense, intensely enhancing lesions in the liver (arrows).

Differential Diagnosis

• Hemangioendotheliomatosis: These findings are characteristic of hemangioendotheliomatosis.

• Metastatic disease: