Hepatic adenomatosis

Discussion:

Multiple enhancing mass lesions with no hepatocytes based on delayed post-contrast imaging. Differential includes metastatic disease, multifocal HCC and adenomas. The patient had 3 separate lesions biopsied and all showed adenoma. Since there are more than 10 lesions this is known as adenomatosis. It might be associated with the OCP. There is no acute hemorrhage, as can occur in this condition.

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