Hepatic adenoma (complicated by hemorrhage)

Case contributed by Matt A. Morgan
Diagnosis certain

Presentation

Rapid onset of exquisite right upper quadrant pain.

Patient Data

Age: 40 years
Gender: Male

Abdominal MRI

mri

Lobulated right hepatic lobe lesion, predominately in segments 7 and 8. The lesion has areas that are mildly hyperintense to liver on precontrast T1-weighted imaging compatible with hemorrhage. 

No gross lipid content within the lesion. There is mild diffuse hepatic steatosis.

No morphologic findings of cirrhosis. No hemoperitoneum.  

Pre & postcontrast dynamic...

mri

Pre & postcontrast dynamic sequences

Lobular arterially enhancing mass in the right hepatic lobe, predominantly involving segments 8 and 7. It fades to background signal intensity on delayed sequences. No washout or pseudocapsule formation

Case Discussion

The patient underwent a right hepatectomy: the diagnosis was hepatic adenoma, compatible with the MRI imaging appearance.

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