Multiple biliary hamartomas

Discussion:

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

 

 

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