Fig. 2

Fetus with multiple hemangiomas in the whole liver (fetus 2). a Largest hypoechoic lesion, measuring 92 × 56 × 80 mm and located in the left liver lobe. Color Doppler ultrasound shows a ring of blood flow at the edge of the lesion and stars intralesion. Pulse Doppler ultrasound suggests that the resistance index is 0.42. b Ultrasound on the day of birth shows that the large lesion has a clear border and an internal grid-shaped region. The portal vein was unobstructed, and its inner diameter was normal. c Postnatal computed tomography (CT) shows the large lesion in the left lobe and several smaller lesions in the right lobe. The density of the mass was low but not uniform. On contrast-enhanced CT, the edge of the lesion increased in intensity in a lattice-like pattern in the early phase of the scan, and the center of the mass gradually increased in intensity during the delay phase; there was no enhancement in the low-density zone. d Two years after treatment of the neonate with propranolol and dexamethasone, the lesion was 19 × 19 × 10 mm in size. Calcification plaques were observed in the lesion, and the intrahepatic and the extrahepatic bile ducts were not dilated