MULTIPLE HEPATIC HAEMANGIOMAS

A 3 YRS OLD CHILD ADMITTED WITH HIGH GRADE FEVER , PAIN IN ABDOMEN UNDER EVALUATION. ON EXAMINATION- PAINFUL HEPATOMEGALY WITH LEUCOCYTOSIS.

 CXR-NORMAL USG- MULTIPLE HYPODENSE VARYING SIZED LESIONS SCATTERED IN LIVER WITH HEPATOMEGALY S/O ? ABSCESSES

 LATER CT WAS DONE AND SHOWINGMULTIPLE HYPO TO ISODENSE AND WELL DEFINED SOLID LESIONS. ON POST CONTRAST STUDIES, EARLY ,PERIPHERAL,DENSE NODULAR ENHANCEMENT.THE POSSIBILITIES BEING- ABSCESS/ ?HEMANGIOMA. SUGGEST-MRI ABDOMEN

 ON MRI- MULTIPLE WELL DEFINED HYPO TO ISOINTENSE LESIONS ON T1WI AND MARKED HYPERINTENSE ON T2WI. ON POSTCONTRAST STUDY, EARLY PERIPHERAL DENSE NODULAR ENHANCEMANT WITH LATER CENTRIPETAL FILL IN.