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Multiple Choice

Cavernous hemangioma imaging appearance on ultrasound is typically which?

Cavernous hepatic hemangiomas are made up of numerous blood-filled vascular spaces, which reflect ultrasound waves strongly. This produces a bright, well-defined, homogeneous appearance on gray-scale ultrasound, i.e., they are echogenic (hyperechoic) compared with the surrounding liver. Color Doppler typically shows little or no internal flow, supporting the benign vascular nature. In practice, most hemangiomas appear echogenic. They can be less bright or heterogeneous if the lesion is large or has degenerative changes, but other patterns like hypoechoic, iso-echoic, or complex with shadowing are less typical.

Cavernous hepatic hemangiomas are made up of numerous blood-filled vascular spaces, which reflect ultrasound waves strongly. This produces a bright, well-defined, homogeneous appearance on gray-scale ultrasound, i.e., they are echogenic (hyperechoic) compared with the surrounding liver. Color Doppler typically shows little or no internal flow, supporting the benign vascular nature.

In practice, most hemangiomas appear echogenic. They can be less bright or heterogeneous if the lesion is large or has degenerative changes, but other patterns like hypoechoic, iso-echoic, or complex with shadowing are less typical.