Scintigraphic finding of a silent hepatic haemangioma

Hepatic haemangioma is the most common benign tumour of liver. Most of them remain asymptomatic and are detected incidentally. Tc 99m RBC blood pool imaging is highly specific diagnostic modality of choice for hepatic haemangioma as its hypervascular nature may create equivocal result on CT or MRI. The sensitivity and specificity increases using SPECT especially in lesion less than 2 cm. Therefore all patients suspected of having hepatic haemangioma should undergo Tc 99m blood pool imaging.