Intrahepatic Hypoechoic Hemangioma means that the presence of a hemangioma in the liver is highly suspected after an ultrasound examination. Intrahepatic hypoechoic hemangioma is the term used by ultrasound to describe a hepatic hemangioma, which is said to be hypoechoic if the density of the hemangioma is slightly higher than that of normal liver tissue. Ninety percent of hepatic hemangiomas show up on ultrasound as hypoechoic, with uniform internal echoes and bumpy margins. Hepatic hemangiomas are relatively common benign tumors in the liver, which is considered a congenital disorder. Clinically, cavernous hemangiomas are the most common and usually have no obvious clinical symptoms and are often detected during ultrasound or abdominal surgery. Hepatic hemangiomas can occur at any age, usually between 30 and 50 years of age, and about eighty percent are female. Most patients with hepatic hemangiomas are asymptomatic and require regular review and close follow-up.