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Multiple anechoic hepatic nodules in a patient with malignant lymphoma: report of a case with an emphasis on B-mode sonograms

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Abstract

We present a case of hepatic malignant lymphoma (ML) in which the hepatic ML nodules were imaged as round anechoic nodules with posterior echo enhancement, mimicking hepatic cysts on B-mode ultrasonography (US). However, the boundary echo between the nodules and the surrounding hepatic tissue seemed to be less distinct than that of a hepatic cyst. Contrast-enhanced US showed the nodules to be hypervascular, which ruled out the possibility of hepatic cysts. Our observation stresses the importance of boundary echo for the diagnosis of hepatic ML on B-mode US. We also offer a possible explanation for this phenomenon.

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Authors and Affiliations

  1. Department of Medical Science Laboratory, Akita Kumiai General Hospital, 1-1-1 Nishibukuro, Iijima, Akita, 011-0948, Japan

    Yoko Ohyama, Junko Konno, Chioko Yoshida, Naoko Kudoh & Toshiki Sasaki

  2. Department of Gastroenterology, Akita Kumiai General Hospital, Akita, Japan

    Takao Hoshino & Hiroyuki Watanabe

  3. Center of Diagnostic Ultrasound, Red Cross Hospital, Akita, Japan

    Hideaki Ishida, Kayoko Furukawa & Takako Watanabe

Authors
  1. Yoko Ohyama
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  2. Junko Konno
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  3. Chioko Yoshida
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  4. Naoko Kudoh
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  5. Toshiki Sasaki
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  6. Takao Hoshino
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  7. Hiroyuki Watanabe
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  8. Hideaki Ishida
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  9. Kayoko Furukawa
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  10. Takako Watanabe
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Corresponding author

Correspondence to Yoko Ohyama.

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Ohyama, Y., Konno, J., Yoshida, C. et al. Multiple anechoic hepatic nodules in a patient with malignant lymphoma: report of a case with an emphasis on B-mode sonograms. J Med Ultrasonics 35, 191–195 (2008). https://doi.org/10.1007/s10396-008-0196-9

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  • DOI: https://doi.org/10.1007/s10396-008-0196-9

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