Background:
To summarize the characteristics of solitary necrotic nodules (SNN) in the liver observed under contrast-enhanced ultrasonography (CEUS), and to improve the differential diagnoses value of CEUS on liver focal lesions.
Methods:
Conventional ultrasonography (US) and CEUS were performed in 24 patients who were confirmed to have SNN by pathological assessment. The US data and dynamic enhancement patterns of CEUS were recorded and retrospectively analyzed.
Results:
All patients underwent CEUS, and of these, 10 patients underwent surgical resection, while 14 patients underwent a puncture biopsy to confirm SNN. Among the 24 patients, 13 patients had a single lesion and 11 patients had multiple lesions. Eleven patients presented no enhancement in all three phases, while the other 13 patients presented with a peripheral thin rim-like enhancement in the arterial phase, an iso-enhancement in the portal phase and delayed phase, and no enhancement in the interior of the lesions.
Conclusions:
SNN has characteristic findings on the CEUS, which play an important role in the differential diagnoses of liver focal lesions.

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On 15 Jan, 2021
On 10 Jan, 2021
Received 10 Nov, 2020
Received 08 Nov, 2020
On 22 Oct, 2020
On 20 Oct, 2020
Invitations sent on 19 Oct, 2020
On 12 Oct, 2020
On 11 Oct, 2020
On 11 Oct, 2020
Posted 20 Jul, 2020
Received 29 Sep, 2020
On 29 Sep, 2020
On 11 Sep, 2020
Received 28 Aug, 2020
Invitations sent on 30 Jul, 2020
On 30 Jul, 2020
On 12 Jul, 2020
On 11 Jul, 2020
On 11 Jul, 2020
On 15 Jan, 2021
On 10 Jan, 2021
Received 10 Nov, 2020
Received 08 Nov, 2020
On 22 Oct, 2020
On 20 Oct, 2020
Invitations sent on 19 Oct, 2020
On 12 Oct, 2020
On 11 Oct, 2020
On 11 Oct, 2020
Posted 20 Jul, 2020
Received 29 Sep, 2020
On 29 Sep, 2020
On 11 Sep, 2020
Received 28 Aug, 2020
Invitations sent on 30 Jul, 2020
On 30 Jul, 2020
On 12 Jul, 2020
On 11 Jul, 2020
On 11 Jul, 2020
Background:
To summarize the characteristics of solitary necrotic nodules (SNN) in the liver observed under contrast-enhanced ultrasonography (CEUS), and to improve the differential diagnoses value of CEUS on liver focal lesions.
Methods:
Conventional ultrasonography (US) and CEUS were performed in 24 patients who were confirmed to have SNN by pathological assessment. The US data and dynamic enhancement patterns of CEUS were recorded and retrospectively analyzed.
Results:
All patients underwent CEUS, and of these, 10 patients underwent surgical resection, while 14 patients underwent a puncture biopsy to confirm SNN. Among the 24 patients, 13 patients had a single lesion and 11 patients had multiple lesions. Eleven patients presented no enhancement in all three phases, while the other 13 patients presented with a peripheral thin rim-like enhancement in the arterial phase, an iso-enhancement in the portal phase and delayed phase, and no enhancement in the interior of the lesions.
Conclusions:
SNN has characteristic findings on the CEUS, which play an important role in the differential diagnoses of liver focal lesions.

Figure 1

Figure 2

Figure 3

Figure 4

Figure 5

Figure 6

Figure 7

Figure 8

Figure 9

Figure 10

Figure 11

Figure 12

Figure 13

Figure 14

Figure 15
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