Focal nodular hyperplasia

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Work up for abdominal pain.

Patient Data

Age: 30 years
Gender: Male
ct

A 37×32 mm arterially hypervascular mass with a central non-enhanced scar is present at segment V of the liver that becomes isodense with surrounding hepatic parenchyma on the portal venous and delayed phases. 

Case Discussion

Features on CT scan are most consistent with focal nodular hyperplasia which is the second most common benign liver lesion (most common is hemangioma). On post-contrast images, FNH demonstrates bright homogeneous arterial contrast enhancement except for the central scar which remains hypoattenuating.

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