Reason: questioning is mass in liver seen on CT-scan History: with increase alkphos ABDOMEN:LIVER, BILIARY TRACT: Noncirrhotic liver morphology.There is a mass in the right hepatic lobe measuring 6.8 x 7.5 cm which is mildly hyperintense on T2-weighted images and demonstrates diffusion restriction (1004/73). This lesion is hypointense on precontrast T1 and demonstrates mild arterial hyperenhancement and washout on delayed phases with suggestion of a capsule. There are several foci of central hypoenhancement and increased T2 signal, likely necrosisSPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: Right adrenal nodule with loss of signal on out of phase images is consistent with an adenoma.KIDNEYS, URETERS: Right hepatic T2 hyperintensity, likely a cyst.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.
Large lesion in the right hepatic lobe. Differential diagnosis includes a well-differentiated hepatocellular carcinoma, adenoma or metastases.