We report ultrasound, CT and MR findings in a patient with multiple bi
le duct hamartomas (BDH) which were associated with disseminated perit
oneal leiomyomatosis, a coincidence not previously reported. At MR ima
ging, the multiple hepatic nodules of BDH were hypointense in T1-weigh
ted images and moderately hyperintense in T2-weighted images, which is
in agreement with the findings in the 2 previously reported cages exa
mined with this modality.