Multifocal T2 hyperintense lesions throughout the liver parenchyma involving the right and left lobes varying in size from 3 mm to 3.5 cm. The largest lesion is present within the medial aspect of segment 5.
The lesions display a heterogenous early arterial enhancement with some lesions enhancing centrally and others enhancing peripheral with a centripetal pattern of enhancement. On the portal venous phase and delayed three-minute postcontrast sequences the lesions show progressive enhancement and development of a pseudocapsule on the three-minute delayed sequence. No documented contrast uptake within the lesions on the hepatocellular phase of imaging.
No intrahepatic or extrahepatic biliary duct dilatation. Portal and hepatic veins remain patent. No focal splenic lesion.
T1/T2 hyperintense lesions measuring 8 mm within T10 and L3 likely represent haemangiomas rather than bony metastases. Multilevel spinal degenerative change.