Female 21 years old Reason: hepatic adenomas vs FNH, change in size since last visit. **FNH PROTOCOL** History: liver lesions ABDOMEN:LIVER, BILIARY TRACT: Liver is normal in morphology. There is diffuse hepatic steatosis. No intra-extrahepatic ductal dilatation. Status post cholecystectomy.Segment two lesion measures 5.4 x 4.6 cm (image 26/series 16) previously, 5.4 x 4.7. cm. lesion is mildly hyperintense on T2 weighted imaging and does not contain intralesional fat and shows retention of contrast on the delayed images. Imaging features are most compatible with an FNH.Segment 7 lesion measures 1.3 x 1.2 cm (image 24/series 16) previously, 1.4 x 1.1 cm. is only mildly hyperintense on T2-weighted imaging demonstrates early arterial enhancement and retention of contrast on the delayed phase imaging. Imaging features are most compatible with an FNH.Segment 7/8 lesions are hyperintense on T2 weighted imaging shows arterial enhancement and washout. The lesions measures 2.2 x 2.0 cm (image 33/series 16) previously, 2.4 x 2.0 cm and 1.2 x 1.1 cm (image 35/series 16) previously, 1.2 x 1.1 cm. The imaging features are most compatible with an adenomas.The lesion at the hepatic dome is T2 isointense which shows arterial enhancement and washout measures 1.2 x 0.9 cm (image 14/series 16) previously, 1.2 x 0.9 cm and is compatible with an adenoma.Other subcentimeter arterial enhancing foci as seen on image 46/series 7 show enhancement and washout and are suspicious for small adenomas.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.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.No significant size change in hepatic lesions with features of adenomas and focal nodular hyperplasia.