Hereditary hemorrhagic telangiectases: magnetic resonance imaging features in liver involvement

In hereditary hemorrhagic telangiectasia (HHT), the liver demonstrates a large pattern of findings, including telangiectases, arteriovenous shuntings, focal liver lesions, and ischemic cholangitis, and provides severe complications such as portal hypertension and cardiac failure. Magnetic resonance imaging allows obtaining complete information (parenchyma, biliary tract, and vessels) of the liver in a 1-step examination. Acknowledgment of typical magnetic resonance imaging features of liver involvement in hereditary hemorrhagic telangiectasia case will result in more accurate diagnosis and can guide therapeutic options.