29-year-old female with liver lesion seen on recent CT requiring further evaluation. ABDOMEN:LIVER, BILIARY TRACT: 2.7 x 2.8 cm mass in the right hepatic lobe near the dome (series 4/3) which demonstrates T2 isointensity with smaller central T2 hyperintense component, homogeneous arterial enhancement, and retention of contrast on hepatobiliary phase, compatible with focal nodular hyperplasia with central scar. Numerous small T2 hyperintense cystic foci throughout the liver without significant enhancement, most compatible with benign biliary hamartomas. No biliary ductal dilation. Normal appearance of the gallbladder.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: Prominent nonspecific left anterior juxtaphrenic lymph node measuring up to 8 mm in short axis (series 11/21).BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Mild abdominopelvic ascites.PELVIS:UTERUS, ADNEXA: Stable large complex, multiloculated cystic mass arising from the pelvis and extending into the lower abdomen. Most of the septae of the mass are thin and demonstrate mild enhancement. A few the loculated components demonstrate mild mural nodularity. For example, there is a round soft tissue nodule with apparent enhancement measuring 1 cm within a component of the mass in the right posterior cul-de-sac (series 15/44). Normal right ovary is likely seen (series 15/55). Normal left ovary is not visualized. These findings should be correlated with pelvic ultrasound.BLADDER: High T1, low T2 signal material dependently within the bladder is most likely due to contrast. However, hemorrhage cannot be excluded as there were no precontrast images of the pelvis performed. Clinical correlation for hematuria can be performed.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Mild abdominopelvic ascites.
1.Stable large complex, multiloculated cystic lesion likely arising from the left ovary and highly suspicious for cystic ovarian neoplasm such as serous or mucinous cystadenoma or cystadenocarcinoma. Findings should be correlated with pelvic ultrasound.2.Right hepatic lobe mass is consistent with focal nodular hyperplasia. No suspicious hepatic lesions.