case_images: PMC3582077_01
case_images: There was intraluminal sludge and gallstones of the GB (arrows). ((a) US, (b) CT, and (c) MRI findings).
case_images: CRIM.RADIOLOGY2013-854686.001.jpg
case_images: PMC3582077_01_CRIM.RADIOLOGY2013-854686.001.jpg
case_images: fig1
case_images: On US examination, the GB with endoluminal sludges and stones was lying down to the upper pelvic space (ptotic GB) (Figure 1). CT was performed due to the evaluation of liver masses, and on CT imaging, the GB was ptotic as seen on US, and there were intraluminal sludge and gallstones (Figures 1 and 2). The ptotic GB, hepatomegaly, atrophic spleen, and the liver masses were confirmed with MRI, and in addition to these findings, the inferior pole of the right kidney was covered by the liver on coronal planes of MRI (Figures 1, 2, 3, and 4).
case_images: The GB was located in the right lower quadrant (ptosis). ((a) CT and (b) MRI findings) L: liver and GB: gallbladder.
case_images: CRIM.RADIOLOGY2013-854686.002.jpg
case_images: PMC3582077_01_CRIM.RADIOLOGY2013-854686.002.jpg
case_images: fig2
case_images: There was hepatomegaly (craniocaudal size of the right lobe of the liver was 225 mm), and the inferior pole of the liver was seen in the right iliac fossa next to the right adnexial region (Figure 2). CT was performed due to the evaluation of liver masses, and on CT imaging, the GB was ptotic as seen on US, and there were intraluminal sludge and gallstones (Figures 1 and 2). The ptotic GB, hepatomegaly, atrophic spleen, and the liver masses were confirmed with MRI, and in addition to these findings, the inferior pole of the right kidney was covered by the liver on coronal planes of MRI (Figures 1, 2, 3, and 4).
case_images: (a) There was hepatomegaly on US imaging. (b) Coronal plane of MRI showed that the inferior pole of the liver was located in the pelvic space (arrows) and (c) the inferior pole of the right kidney was covered by the liver (arrow), L: liver and K: kidney.
case_images: CRIM.RADIOLOGY2013-854686.003.jpg
case_images: PMC3582077_01_CRIM.RADIOLOGY2013-854686.003.jpg
case_images: fig3
case_images: There was a lobulated, countered, iso-hyperechogeni, and heterogenous liver mass in the left lobe with 50 x 55 mm in size, seen in US (Figure 3), and a well-defined, homogenous, and hiperechogen liver mass measured 14 mm in the right lobe. The ptotic GB, hepatomegaly, atrophic spleen, and the liver masses were confirmed with MRI, and in addition to these findings, the inferior pole of the right kidney was covered by the liver on coronal planes of MRI (Figures 1, 2, 3, and 4).
case_images: The spleen was atrophic on MRI ((a): axial and (b): coronal MRI) S: Spleen.
case_images: CRIM.RADIOLOGY2013-854686.004.jpg
case_images: PMC3582077_01_CRIM.RADIOLOGY2013-854686.004.jpg
case_images: fig4
case_images: The spleen was atrophic (Figure 4), and there were cortical cysts at both kidneys. The ptotic GB, hepatomegaly, atrophic spleen, and the liver masses were confirmed with MRI, and in addition to these findings, the inferior pole of the right kidney was covered by the liver on coronal planes of MRI (Figures 1, 2, 3, and 4).
case_images: (a) A lobulated and countered, iso-hiperechogen liver mass in the left lobe on US imaging (arrows), (b) on postcontrast CT scan, nodular enhancement was seen at the periphery of the lesion (arrow). (c) On coronal T2W images, the lesion was hyperintense (arrow).
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case_images: PMC3582077_01_CRIM.RADIOLOGY2013-854686.005.jpg
case_images: fig5
case_images: After administration of intravenous contrast medium (Gadovist, 0.2 mL/kg), nodular enhancement was seen at the periphery of both lesions (Figure 5). 
case_images: (a) On precontrast T1W images, a lobulated hyperintense liver mass in the left lobe with central-peripheral scar tissue (arrow). (b) On postcontrast early arterial MRI, the lesion showed hyperintense peripheral nodular enhancement (arrow). (c) On postcontrast delayed MRI, increasing central enhancement was seen in the lesion (arrow). The central-peripheral scar tissue did not show any enhancement on all images.
case_images: CRIM.RADIOLOGY2013-854686.006.jpg
case_images: PMC3582077_01_CRIM.RADIOLOGY2013-854686.006.jpg
case_images: fig6
case_images: With regard to all these findings, the lesion was considered to be a papillary hemangioma (Figure 6). 
case_images: (a) On T2W images, a well-defined, homogenous, and hyperintense liver mass in the right lobe (arrow). On postcontrast T1W imaging, the lesion showed early hyperintense peripheral nodular enhancement (b) with increasing central enhancement on delayed images (c) (arrows).
case_images: CRIM.RADIOLOGY2013-854686.007.jpg
case_images: PMC3582077_01_CRIM.RADIOLOGY2013-854686.007.jpg
case_images: fig7
case_images: The lesion in the right lobe presented the same enhancement pattern like the one in the left lobe except for the enhancement of central scar tissue and also was considered as a hemangioma (Figure 7).