case_images: PMC6358341_01
case_images: An abdominal ultrasound examination showed multiple hepatic heterogeneous mass lesions, with the largest one in size of 40.6*32.1 mm (arrow).
case_images: medi-98-e14078-g001.jpg
case_images: PMC6358341_01_medi-98-e14078-g001.jpg
case_images: F1
case_images: Abdominal ultrasound revealed more than 8 heterogeneous, hyperechoic, and hypervascular nodular to mass-like hepatic lesions with the largest one over left lobe (Fig. 1).
case_images: The precontrast CT scan illustrates nodules and masses of low attenuation in the liver, with the largest one in size of 25*40 mm at the left lobe. CT = computed tomographic.
case_images: medi-98-e14078-g002.jpg
case_images: PMC6358341_01_medi-98-e14078-g002.jpg
case_images: F2
case_images: The largest one was 25*40 mm at left lobe of the liver (Fig. 2).
case_images: The arterial phase CT scan reveals enhancement of the lesions within the liver. CT = computed tomographic.
case_images: medi-98-e14078-g003.jpg
case_images: PMC6358341_01_medi-98-e14078-g003.jpg
case_images: F3
case_images: After intravenous injection of contrast medium (arterial phase) (Fig. 3), the lesions were dominantly enhanced.
case_images: In portal venous phase of CT scan, all lesions showed progressively increased areas of contrast enhancement with centripetal pattern. CT = computed tomographic.
case_images: medi-98-e14078-g004.jpg
case_images: PMC6358341_01_medi-98-e14078-g004.jpg
case_images: F4
case_images: All lesions showed progressively increased areas of contrast enhancement with a centripetal pattern in portal venous phase (Fig. 4).
case_images: In delayed phase of CT scan, majority of the lesions became homogeneous enhancement while the largest lesion manifested incomplete enhancement, probably related to necrosis or fibrosis (arrows). CT = computed tomographic.
case_images: medi-98-e14078-g005.jpg
case_images: PMC6358341_01_medi-98-e14078-g005.jpg
case_images: F5
case_images: In delayed phase (Fig. 5), the majority of the lesions became homogeneous enhancement while the largest lesion demonstrated incomplete enhancement, probably related to necrosis or fibrosis.
case_images: No lesions were detected under abdominal ultrasound after a 4.5-month treatment course of propranolol.
case_images: medi-98-e14078-g006.jpg
case_images: PMC6358341_01_medi-98-e14078-g006.jpg
case_images: F6
case_images: After a total of 4.5-month treatment, no more hepatic lesions could be detected by abdominal ultrasound (Fig. 6).