Focal nodular hyperplasia

Case contributed by Bruno Di Muzio
Diagnosis certain

Presentation

Incidental liver on ultrasound.

Patient Data

Age: 30 years
Gender: Female

Liver

mri

Large well-defined lesion in segment VII that has relatively low T1 signal and iso T2 signal compared to the background liver. It has vivid arterial hyperenhancement that persists throughout the multiple phases and there is the retention of contrast on the delayed hepatobiliary phase. A note is made to a slightly eccentric scar region at the superior aspect of the lesion, which has increased T2 signal and lack of contrast enhancement. A few subcentimeter peripheral hepatic cysts are also noted. 

Case Discussion

Typical MRI features of focal nodular hyperplasia in a study performed with hepatobiliary specific contrast agent (Primovist). 

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