1. Giant Hemangiomas

2. History of Present Illness
27-year-old woman was referred to our hepatology clinic for a second opinion
Right upper quadrant discomfort for about one and a half year

3. Past Medication History
She had been on oral contraceptives for about 7 years but not for the last 8 years

4. Physical Examination BP: 93/66 P: 73 T: 97.5 Height: 5’7”
Weight: 129.8
BMI: 20

5. Physical Examination Well-developed, well-nourished woman HEENT: AT/NC
Neck: Supple
CVS: S1, S2 regular
Lungs: Clear
Abdomen: Soft, nontender, masses nonpalpable, no ascites
Extremities: No peripheral edema
CNS: AOX3

6. LABS
Her laboratory analysis does not reveal any abnormality

7. CT Scan of the Abdomen
A CT scan had shown multiple liver lesions thought to be hemangiomas
She was subsequently worked up thoroughly
Subsequently, she had a total of 3 MRI’s following the lesions with time

8. MRI of the Abdomen The liver is diffusely enlarged (23 cm)
Multiple well-defined lesions within the both lobes
Largest lesion was within the dome of the right lobe of the liver (10.1 x 12.4 x 16.2 cm)
Hepatic vasculature is widely patent