For asymptomatic tumors, a combination of two to three imaging modalities usually makes the diagnosis: in greater than 70% of cases, a diagnosis of hemangioma, FNH, or hepatic cyst may be achieved ...

[67] However, occasionally metastases will be uniformly hyperechoic and may masquerade as hemangiomas. In this scenario, further imaging or biopsy is indicated. Often, hyperechoic metastases ...