title: Transient washout of hepatic hemangiomas: Potential pitfall mimicking malignancy.
abstract: Hemangiomas are the most common tumor of the liver and distinguishing them from malignancy is important. This is a report of 3 hemangiomas in 2 patients that exhibit transient washout of gadoxetate disodium (Eovist), relative to blood pool and liver parenchyma, a characteristic that is used to diagnose hepatocellular carcinoma in at-risk patients. It is important to recognize that high-flow hemangiomas can exhibit transient washout when using a small volume of injected contrast agent. This finding is unlikely to be present on CT examinations because of the larger volume of contrast administered.
authors.affiliation: Department of Radiology, Thomas Jefferson University, 132 S 10th St, 10 Main Building, Philadelphia, PA 19107, USA.
authors.forename: David J S
authors.initials: DJ
authors.lastname: Becker-Weidman
authors.affiliation: Department of Radiology and Biomedical Imaging, University of California, San Francisco, 505 Parnassus Ave, M-391, San Francisco, CA 94143, USA.
authors.forename: Thomas A
authors.initials: TA
authors.lastname: Hope
authors.affiliation: Department of Radiology, Wake Forest University School of Medicine, 1 Medical Center Blvd, Winston-Salem, NC 27103, USA.
authors.forename: Pooja H
authors.initials: PH
authors.lastname: Doshi
authors.affiliation: Department of Radiology, Thomas Jefferson University, 132 S 10th St, 10 Main Building, Philadelphia, PA 19107, USA.
authors.forename: Anuj
authors.initials: A
authors.lastname: Patel
authors.affiliation: Department of Radiology, Thomas Jefferson University, 132 S 10th St, 10 Main Building, Philadelphia, PA 19107, USA.
authors.forename: Donald G
authors.initials: DG
authors.lastname: Mitchell
keywords: Eovist; High-flow hepatic hemagioma; MRI; Washout