Hepatic myelolipoma and left adrenal myelolipoma

Case contributed by Jose Ignacio Aragon
Diagnosis probable

Presentation

Incidentally hyperechoic hepatic lesion on ultrasound.

Patient Data

Age: 65 years
Gender: Female

Lobulated well-circumscribed without enhancement, fat containing liver lesion in the VII hepatic segment. 

Rounded, well-circumscribed, heterogeneous, fat cotaining lesion in the left adrenal gland. 

Case Discussion

Hepatic myelolipoma is a rare and benign fat containing lesion of the liver, found incidentally, mostly asymptomatic. Its diagnosis by imaging remains difficult because of the lack of pathognomonic signs. The definite diagnosis is by resection or biopsy. 

 

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