Erschienen in:
29.03.2024 | Classics in Abdominal Radiology
The “flowering” sign
Erschienen in: Abdominal Radiology | Ausgabe 9/2024
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The “Flowering sign” is a radiological sign that depicts the contrast medium accumulation within a liver haemangioma, resembling the appearance of blooming flowers in digital subtraction angiography (DSA) images. This sign is characterised by a pooling and puddling of contrast medium distribution that resembles a configuration suggestive of flower petals unfurling [1] (Figs. 1, 2).
Fig. 1
Angiography study of the right hepatic artery demonstrating the typical pattern of contrast media increasing accumulation inside hepatic haemangioma (flow rate 2.5 ml/sec, tot. amount 10 ml, Iomeron 350, Bracco imaging) The tributary arteries resemble bare branches (A) with consequential flower blooming as media contrast pooling penetrates inside the benign tumour (B, C, D) (black arrow pointing to liver haemangioma and its flowering effect)
Fig. 2
“Almond blossom”. Vincent van Gogh (1853–1890), Saint-Rémy-de-Provence, February 1890. Oil on canvas, 73.3 cm × 92.4 cm. Van Gogh Museum, Amsterdam (Vincent van Gogh Foundation). Public domain image. https://commons.wikimedia.org/wiki/File:Vincent_van_Gogh_-_Almond_blossom_-_Google_Art_Project.jpg
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