Value of contrast enhanced ultrasound in evaluation of small hepatomas: a case series review

Purpose: Contrast enhanced ultrasound (CEUS) is currently well recognised as an imaging modality for evaluation of hepatic lesions. There are various published guidelines which have recognised its use as a definitive diagnostic tool for hepatocellular carcinoma (HCC) in high risk patients. However, this opinion may not be universally accepted. While we do not routinely use CEUS as a first line modality in high risk patients, we had observed and recognised its value as a problem solving tool; particularly for small sonographically detected lesions which measures less than 20 mm. Methodology: We reviewed 7 CEUS li…