CASE 4
ANSWER:
Congestive heart failure caused by infantile liver hemangioendothelioma.
. Figure
1. A chest film shows cardiomegaly.
.
Figure 2. A transverse abdominal ultrasonogram
shows
multiple hypoechoic masses in the liver.
Figures 3-6. A noncontrast CT scan of the
upper abdomen (upper left) shows multiple
hypodense masses in the liver. A contrast
CT scan of the upper abdomen (upper right)
shows enhancement of the masses. Most masses
have the same density as the liver
parenchyma. Some have intense enhancement
(arrows). In the lower left picture there
are enlarged hepatic veins (hv). In the lower
right picture, there are an enlarged celiac
artery (red arrow), an enlarged hepatic artery
(blue arrow), and a decreased caliber of
the infrahepatic aorta (a).
DISCUSSION
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