MRI
Axial T2 fat sat
Axial T2
Axial T1 out-of-phase
Axial T1 in-phase
Axial T1 fat sat
Large segment 7 lesion, with central T2 hyperintense scar. Loss of signal on out-of-phase T1 indicates intralesional fat. The liver surface is subtly irregular, indicating cirrhosis. This is supported by splenomegaly.