Hepatic adenoma - multiple

Case contributed by Dr Praveen Jha

Presentation

Abdominal pain with palpable hepatomegaly

Patient Data

Age: 65 years
Gender: Female
CT

Well marginated round focal lesions in liver (segment VI and VII), with solid areas of contrast enhancement, and cystic necrotic areas within.

Case Discussion

Provisional diagnosis: Hepatic adenomas

Differential diagnosis: Multifocal hepatocellular carcinoma, although the lack of background hepatic cirrhosis makes this less likely.

Final diagnosis :  Hepatic adenomas was proven histopathologically after surgery.

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