Hospital radiology: Some people mentioned that the ultrasound examination of the intrahepatic lesion was “solid tumor with no blood flow, which could not be a hemangioma”, which is incorrect. In fact, cavernous hemangioma is not made of dilated blood vessels, which is substantial in itself. The ultrasound said that there is no blood flow, which may be examined by color Doppler ultrasound, because the blood flow of Doppler refers to the blood flow within the lumen of the blood vessels or in the parenchyma of the lesions that have particularly rich blood supply (e.g., hyperthyroidism, primary hepatocellular hepatocellular carcinoma, etc.), and the hepatic cavernous hemangioma can not detect the blood flow at all (it can be more manifested in the case of many fibrous tissues). The diagnosis of most hepatic cavernous hemangiomas can be made on CT-enhanced scans, as they typically show flaky enhancement in the arterial phase and persistent enhancement in the venous phase, with no withdrawal of contrast on delayed scans, and with a density consistent with that of the rest of the hepatic tissue. Therefore, if the lesion shows this pattern on CT, the diagnosis can be made without regard to the atypical pattern on ultrasound, provided that the CT pattern is typical (sometimes it is not, and different doctors may have different judgment). In addition, hepatic cavernous hemangioma is predominantly hyperechoic on ultrasound, but can also be hyperechoic. If you are still unsure, MRI is highly recommended because it is more accurate and specific in diagnosing hepatic cavernous hemangioma.