Evaluate hepatic mass. History of acute kidney injury, elevated LFTs. ABDOMEN:LIVER, BILIARY TRACT: The liver is smooth in contour, with no evidence of cirrhosis. Within segment 5/6 there is a T1 hypointense, T2 hyperintense lesion measuring 9.8 x 6.1 cm (series 7, image 25), and contains an area of heterogeneity that is T1 hyperintense and T2 hypointense, corresponding to foci of hemorrhage. This lesion does not contain fat or restrict diffusion. There is no capsular retraction. There is no intrahepatic or extra hepatic biliary ductal dilatation. Additional smaller lesions with similar features are identified in segment 4A measuring 2.1 x 1.6 cm (series 7, image 29) and segment 2 measuring 2.3 x 1.5 cm (series 7, image 33). The gallbladder is normal in appearance. SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Few subcentimeter T2 hyperintense renal lesions are identified within the left lower pole, probably cysts, but too small to characterize.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Anasarca.OTHER: No significant abnormality noted.
Few hepatic lesions as described above, favor hemangiomas in conjunction with CT and US findings. Follow-up may be obtained when renal function normalizes or short term (3-6months) as indicated.