The images demonstrate T1 hypointense with no post contrast enhancement and T2 hyperintense multiple hepatic lesions which represent multiple biliary hamartomas.
Differential diagnosis includes:
- metastases - which in most of the cases enhance vividly post contrast administration
- multiple cysts - the wall is usually imperceptible
- biliary cystadenomas - less numerable and of variable T1/T2 intensity
- multiple micro-abscesses - typically restriction on DWI sequences