Ultrasound findings:

• The larger hemangiomas may have a mixed pattern resulting from necrosis. 
• Hemangiomas may become more heterogeneous as they undergo degeneration and fibrous replacement.
• They may also project with calcifications or a complex or anechoic echo pattern.
• The differential considerations for hemangioma should include metastases, hepatoma, focal nodular hyperplasia, and adenoma.