Contrast-enhanced ultrasound (CEUS) appearance of hepatic myelolipoma

Area of Science:

• Hepatology
• Radiology
• Oncology

Background:

• Hepatic myelolipomas are rare, benign liver tumors.
• Accurate diagnosis is crucial for differentiating benign from malignant liver lesions.

Observation:

• A case report of a 72-year-old female with a hepatic myelolipoma is presented.
• The lesion was previously identified as hyperechoic on conventional sonography.
• Contrast-enhanced ultrasound (CEUS) was utilized for detailed evaluation.

Findings:

• CEUS revealed homogeneous hyperenhancement in the arterial phase.
• A slight hyperenhancement was noted in the portal venous phase.
• These CEUS features are characteristic of benign hepatic tumors.

Implications:

• CEUS can assist in the differential diagnosis of liver lesions.
• Distinguishing benign from malignant hepatic tumors is essential.
• Histopathological evaluation via biopsy remains the definitive diagnostic method.