NLS examination of hepatic hemangioma using the Biophilia Tracker X4 MAX

The most common incidental finding after workup and the object of further diagnostic verification is hepatic hemangioma.

Hemangiomas are benign vascular tumors of the liver (up to 15% of the population). With heterogeneous internal structures, their visual image may resemble cancer (especially on ultrasound and CT), requiring additional diagnostic investigation. In most cases, hemangiomas are clinically asymptomatic.

The diagnostic criteria for a hemangioma (based on MRI, CT, and NLS data) are considered to be: it is never encapsulated, edematous, pulls towards the hepatic veins, and sometimes its form approaches that of a lobe. Its outline may be irregular in form, but it is noticeable. Dynamic studies detected very slow growth.

On NLS of a Biophilia Tracker X4 MAX hemangioma, it usually appears as a hyperpigmented (4-5 on the Fleindler scale) tumor. However, if there is a corresponding fatty infiltration of the liver, hemangiomas can appear hypopigmented and sometimes difficult to distinguish from cysts or metastases. Cavernomas are typified by low and colorless areas (1 - 3 points), which complicates their interpretation. Hyaline fissure is one of the most typical symptoms of hemangioma, but it is not always visible.

It should be noted that if there is a possible hemangioma, puncture cannot be performed due to the high risk of bleeding development. It requires dynamic monitoring and repeated examination of the patient.