대한초음파의학회 Korean Society of Ultrasound in Medicine

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[Hepatobiliary [HB]] 71 Years/M, incidentally detected hepatic lesions
  • Hae Young Kim
  • 2026-10-25
Subspecialty Hepatobiliary [HB]
Classification Tumor
Difficulty Rare case
Modality US, CT, MR
  • CT images showing multiple hypervascular liver nodules
  • MR images showing the masses with T2 hyperintensity and enhancement
  • Hypoechogenicity of the masses on ultrasonography
퀴즈 응모 기간 2026-10-25 ~ 2026-11-09
Questions What is the diagnosis?
Answer
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ANSWER
Answer Meningioma metastasis
Comments The patient had a remote history of intracranial meningioma, and the hepatic masses were pathologically confirmed as metastatic meningioma. Extracranial metastasis from meningioma is extremely rare, with the lungs, bones, and liver being among the most commonly reported metastatic sites. Metastases may develop years or even decades after the initial diagnosis. Hepatic metastases may appear as well-defined, hypervascular masses on CT or MRI. However, imaging findings are nonspecific and may mimic hepatocellular carcinoma or other hypervascular metastases.
References
Keywords Rare hepatic tumor

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