Fig. 3

Fetus with a hemangioma in the right liver lobe (fetus 4). a Hypoechoic lesion measuring 56 × 42 × 41 mm. Color Doppler ultrasound shows a strip of blood flow at the edge of the lesion and stars intralesion. Pulse Doppler ultrasound suggests that the resistance index is 0.53. b Ultrasound on the day of birth shows that the lesion is less clear, with nonuniform density and punctate calcifications. The hepatic vein was bypassed. c Postnatal computed tomography (CT) shows nonuniform density and punctate calcifications. On contrast-enhanced CT, the lesion was centripetal enhancement. It was supplied by a branch of the hepatic artery and drained via the hepatic veins; the right and middle hepatic veins were thickened. d Six months after treatment of the neonate with propranolol and dexamethasone, the lesion was 28 × 25 × 27 mm in size. Calcification plaques were observed, and the intrahepatic and the extrahepatic bile ducts were not dilated