Inflammatory hepatic adenoma
History of weight loss and abdominal pain.
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Liver with normal size and regular contours. It is observed one mass located in the segment VIII, measuring 4.2 x 4.2 cm, slightly hypodense compared to the parenchyma in non-contrast phase. It has arterial and venous contrast enhancement, more pronounced in the periphery, with hypodense halo on arterial phase. In delayed phase, it fades away and no washout seen. There are no signs of recent bleeding. Portal and hepatic veins are patent.
Biopsy showed hepatic adenoma of the inflammatory type (telangiectatic). The patient was instructed to cease using hormonal contraceptives and attend follow-up.
- Luigi Grazioli, Lucio Olivetti, Giancarlo Mazza, and Maria Pia Bondioni, “MR Imaging of Hepatocellular Adenomas and Differential Diagnosis Dilemma,” International Journal of Hepatology, vol. 2013, Article ID 374170, 20 pages, 2013. doi:10.1155/2013/374170
- Venkata S. Katabathina, Christine O. Menias, Alampady K. P. Shanbhogue, et al. Genetics and Imaging of Hepatocellular Adenomas: 2011 Update. RadioGraphics 2011; 31:1529–1543