case_images: PMC10883114_01
case_images: Multiple cutaneous hemangiomas of the patient (black arrows).
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case_images: His examination revealed large hepatomegaly, the liver was palpable 4 cm under the right costal margin with an enlargement of both right and left hepatic lobes, conjunction of cutaneous strawberry-like hemangiomas over the skin (Figure 1).
case_images: Abdominal US showing multifocal hypo-echoic mass ravishing most of the hepatic lobes (red arrows).
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case_images: Abdominal ultrasound showed multifocal uniformly hypo-echoic mass ravishing most of the hepatic lobes (Figure 2).
case_images: Cervical US showing thyroid hypo-echoic nodules withing the gland (red arrows).
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case_images: A quick US probe sweep of the thyroid revealed a clear homogenous hypotrophy of the gland (Figure 3) and a transfontanel US showed hydrocephalus with signs of meningeal bleed confirmed in CT scan (Figure 4).
case_images: Axial (a) and coronal reconstruction (b) CT, showing hydrocephalus (red arrows) and meningeal bleed (black arrow).
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case_images: A quick US probe sweep of the thyroid revealed a clear homogenous hypotrophy of the gland (Figure 3) and a transfontanel US showed hydrocephalus with signs of meningeal bleed confirmed in CT scan (Figure 4).
case_images: Axial (a) and coronal reconstruction (b) contrast-enhanced CT, showing countless hepatic enhanced lesions (red arrows).
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case_images: Given the unavailability of MRI, we completed the imaging exam with a contrast-enhanced abdominal CT revealing multiple hepatic lesions exhibiting peripheral ring enhancement on the portal phase (Figure 5).