Solitary necrotic nodule of the liver: contrast-enhanced sonography

J Clin Ultrasound. 2007 May;35(4):177-81. doi: 10.1002/jcu.20342.

Abstract

Purpose: To report contrast-enhanced sonography (CEUS) for solitary necrotic nodule (SNN) of the liver and to assess its clinical value.

Methods: CEUS was performed in 17 patients with pathologically proven SNN. Contrast pulse sequencing and the contrast agent SonoVue were used to depict lesion vascularity at a low mechanical index. The enhancement patterns were evaluated in real time.

Results: Lesions were depicted as perfusion defects throughout all phases on CEUS.

Conclusions: CEUS can be a convenient imaging modality for the differential diagnosis of SNN and may obviate the need for further imaging studies.

MeSH terms

  • Adult
  • Aged
  • Biopsy, Needle
  • Contrast Media*
  • Female
  • Humans
  • Image Enhancement*
  • Image Processing, Computer-Assisted
  • Liver / diagnostic imaging*
  • Liver / pathology
  • Male
  • Microbubbles
  • Middle Aged
  • Necrosis
  • Phospholipids
  • Sulfur Hexafluoride
  • Ultrasonography, Doppler, Color

Substances

  • Contrast Media
  • Phospholipids
  • contrast agent BR1
  • Sulfur Hexafluoride