• Bo-Wen Zhuang, Wei Li, Zhi-Feng Chen, Chuang-Jie Cao, Xiao-Yan Xie, and Xiao-Hua Xie.
• Department of Medical Ultrasonics, Institute of Diagnostic and Interventional Ultrasound, The First Affiliated Hospital of Sun Yat-Sen University.
• Medicine (Baltimore). 2018 Dec 1; 97 (51): e13509.

RationaleCavernous hemangiomas are benign vascular malformations that usually involve the skin, subcutaneous tissue, and liver. Described herein was multiple masses in the lung and liver mimicking metastasis, which was proved to be cavernous hemangiomas histologically.Patient ConcernsA 78-year-old man with complaint of dizziness for 3 days was referred to the local hospital for medical attention.DiagnosesMultiple masses in the lung and liver was diagnosed pathologically as cavernous hemangioma.InterventionsBecause of the benign pathological characteristic and multiple distribution, no treatment except some symptomatic treatment for dizziness was administered.OutcomeAfter more than 2 years of follow-up visits, the patient had no apparent symptoms and was healthy.LessonsProper diagnosis of multiple cavernous hemangiomas is essential. The final diagnosis depends on the pathology results. The most appropriate management is follow-up. Surgical treatment is suitable for large or symptomatic lesions which can result in satisfactory prognoses.

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