Female 44 years old Reason: eval for pancreatic and/or biliary pathology History: abdominal pain, weight loss ABDOMEN:LIVER, BILIARY TRACT: 2.8 x 1.5 cm mass in the right lobe of the liver enhancing at the arterial phase and does not washout on the portal venous and delayed phase. This lesion is unchanged compared to outside CT dated 2/11/2016. This lesion is slightly hyperintense on diffusion-weighted images. MR characteristics of this lesion is suggestive of focal nodular hyperplasia or adenoma. MRI of the liver within 6 months would FNH protocol may be helpful for differentiation between these 2 lesions if clinically indicated. No evidence of intra or extrahepatic biliary dilatation. Pancreas is unremarkable.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: There is a 1.2 x 2 cm T2 hyperintense lesion L3 vertebral body which is hypointense on T1-weighted images. Metastatic lesion cannot be excluded. Further evaluation of this lesion with lumbar spine MRI is recommended. This lesion is not well seen on CT images.OTHER: No significant abnormality noted.
1. Enhancing lesion in the right lobe of the liver with MR characteristics suggestive of focal nodular hyperplasia or adenoma. If differentiation between these 2 lesions is clinically indicated, MRI would FNH protocol may be helpful.2.Lumbar spine MRI is recommended for evaluation of the L3 vertebral body lesion.