Focal nodular hyperplasia

Case contributed by Dr Bruno Di Muzio

Presentation

Referred for further workup of incidental liver lesion.

Patient Data

Age: 25 years
Gender: Female
Ultrasound

Liver ultrasound

Ultrasound depicting a liver segment VI/VII hyperechoic mass with central vasculature that appears to irradiate from the hypoechoic lesion center ("spoke wheel appearance"). 

MRI

MRI Liver

Well-defined segment VI/VII liver lesion that has mild elevated T2 signal, no fat content, and is hypervascular on arterial phase and tends to get homogeneous with the background parenchyma. On Primovist delayed phase it up takes the contrast and has a slightly elevated signal compared to the background liver. The scar is hyperintense on T2 and does not retain contrast. 

Case Discussion

Typical imaging features of focal nodular hyperplasia (FNH)

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Case information

rID: 68936
Published: 23rd Jun 2019
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included
Institution: Alfred Hospital

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