Journal of the Korean Society of Radiology (대한영상의학회지)

The Korean Society of Radiology (대한영상의학회)
권호 표지

A Case Report of Multiple Cavernous Hemangiomas withFluid-Fluid Levels: A Focus on the Radiologic Features of Dynamic MRI with Subtraction

액체-액체층을 보이는 다발성 해면상혈관종의 증례 보고: 감산조영 자기공명영상 소견

  • Lee, Woong-Jae (Department of Radiology, Chung-Ang University Hospital) ;
  • Kim, Gi-Hyeon (Department of Radiology, Chung-Ang University Hospital) ;
  • Lee, Jong-Beum (Department of Radiology, Chung-Ang University Hospital) ;
  • Lee, Hwa-Yeon (Department of Radiology, Chung-Ang University, Yong-San Hospital)
  • 이웅재 (중앙대학교 의과대학 중앙대학교병원 영상의학과) ;
  • 김기현 (중앙대학교 의과대학 중앙대학교병원 영상의학과) ;
  • 이종범 (중앙대학교 의과대학 중앙대학교병원 영상의학과) ;
  • 이화연 (중앙대학교 의과대학 중앙대학교 용산병원 영상의학과)
  • Published : 2011.02.01
⟨ Previous Next ⟩

Abstract

Multiple cavernous hemangiomas with fluid-fluid levels were presented in a 40-year-old male patient. These hemangiomas showed nonspecific radiologic features on ultrasound and computed tomography, but gadolinium-enhanced magnetic resonance imaging (MRI) with subtraction revealed fluid-fluid levels with unique and different enhancement of the inferior and superior layer. This is the first case report of cavernous hemangiomas with fluid-fluid levels, containing radiologic features of dynamic MRI with subtraction.

40세 남자 환자에서 액체-액체층(fluid-fluid level)을 보이는 다발성 해면상혈관종을 경험하여 보고하고자 한다. 초음파와 전산화단층촬영에서는 비특이적 소견을 보였으며 감산조영 자기공명영상(dynamic MRI with subtraction)에서 액체-액체층과 함께 하층부 및 상층부의 특이한 조영증강 양상을 보였다. 본 증례는 액체-액체층을 보이는 해면상혈관종의 감산조영 자기공명영상에 대한 첫 보고이다.

Keywords

References

  1. Vilgrain V, Boulos L, Vullierme MP, Denys A, Terris B, Menu Y. Imaging of atypical hemangiomas of the liver with pathologic correlation. Radiographics 2000;20:379-397
  2. Itai Y, Ohtomo K, Kokubo T, Yamauchi T, Okada Y, Makita K. CT demonstration of fluid-fluid levels in nonenhancing hemangiomas of the liver. J Comput Assist Tomogr 1987;11:763-765 https://doi.org/10.1097/00004728-198709000-00003
  3. Soyer P, Bluemke DA, Fishman EK, Rymer R. Fluid-fluid levels within focal hepatic lesions: imaging appearance and etiology. Abdom Imaging 1998;23:161-165 https://doi.org/10.1007/s002619900312
  4. Soyer P, Spelle L, Gouhiri MH, Rondeau Y, Pelage JP, Scherrer A, et al. Gadolinium chelate-enhanced subtraction spoiled gradientrecalled echo MR imaging of hepatic tumors. AJR Am J Roentgenol 1999;172:79-82 https://doi.org/10.2214/ajr.172.1.9888744
  5. Ward J, Guthrie JA, Scott DJ, Atchley J, Wilson D, Davies MH, et al. Hepatocellular carcinoma in the cirrhotic liver: double-contrast MR imaging for diagnosis. Radiology 2000;216:154-162 https://doi.org/10.1148/radiology.216.1.r00jl24154
  6. Tung GA, Vaccaro JP, Cronan JJ, Rogg JM. Cavernous hemangioma of the liver: pathologic correlation with high-field MR imaging. AJR Am J Roentgenol 1994;162:1113-1117 https://doi.org/10.2214/ajr.162.5.8165993
  7. Yamashita Y, Ogata I, Urata J, Takahashi M. Cavernous hemangioma of the liver: pathologic correlation with dynamic CT findings. Radiology 1997;203:121-125
  8. Obata S, Matsunaga N, Hayashi K, Ohtsubo M, Morikawa T, Takahara O. Fluid-fluid levels in giant cavernous hemangioma of the liver: CT and MRI demonstration. Abdom Imaging 1998;23:600-602 https://doi.org/10.1007/s002619900411
  9. Ghai S, Dill-Macky M, Wilson S, Haider M. Fluid-fluid levels in cavernous hemangiomas of the liver: baffled? AJR Am J Roentgenol 2005;184(3 Suppl):S82-S85 https://doi.org/10.2214/ajr.184.3_supplement.01840s82
  10. Lee J, Lim HK, Jeon YH. Multiple hepatic hemangiomas with fluid-fluid levels. Australas Radiol 2007;51 Suppl:B310-B312 https://doi.org/10.1111/j.1440-1673.2007.01801.x