Here is a case of fat-containing hepatic adenoma in a middle-aged female patient receiving contraceptive pills. The enhancement pattern is similar to other hypervascular lesions (HCC, FNH, metastases), however, the incidental finding,  presence of intra lesion fat, and history of pills intake, all favor the possibility of adenoma. The patient subjected to a follow up with a stationary course of this lesion developed no increased size or spontaneous rupture

Ultrasound contribution by Dr. Shaimaa Hussien