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Chronic subcapsular hepatic hematoma

Case contributed by Chris O'Donnell
Diagnosis almost certain

Presentation

8 years ago had motorcyle accident with hepatic injury requiring surgery. Now right upper quadrant pain

Patient Data

Age: 30 years
Gender: Male

Round, slightly crescentic mass peripherally in the right hepatic lobe containing subtle calcification (arrows on non-contrast) and showing no contrast enhancement on arterial, PV and delayed imaging (all ~55 HU). Findings consistent with residual (chronic) subcapsular hematoma.

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