Reason: eval hemangioma and other liver lesions ? hemangiomas History: known hemangioma and liver masses, prior renal cell carcinoma, elevated ALT ABDOMEN:LIVER, BILIARY TRACT: There is patchy loss of signal on out of phase images suggesting steatosis.A large segment 8 lesion measures 8.1 x 7.0 cm (10/237) with T2 hyperintensity and peripheral nodular enhancement which fills in, likely representing a hemangioma. There are a few surrounding simple cysts. There are 6 additional lesions with peripheral nodular enhancement which fill in, likely representing hemangiomas. A lesion in segment 2 measures 2.3 x 1.5 cm (10/239). Additional hemangiomas are seen within segments 8 (10/252), segment 7 (10/254), segment 3 (10/258), segment IVb (10/257) and segment 5 (10/264).SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Susceptibility artifact in the inferior pole the left kidney is likely related to postsurgical changes.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Dominant lesion in the right hepatic lobe has imaging features consistent with a hemangioma.2.Six additional lesions in liver also likely represent hemangiomas.