69-year-old female with abdominal pain, hepatic lesions. Patient with abdominal pain, nausea. The outside scan noted hepatic lesion. Please evaluate lesion. ABDOMEN:LIVER, BILIARY TRACT: Diffuse hypointense T2 signal intensity of the hepatic parenchyma with paradoxical shift on the in and out of phase sequences is consistent with iron deposition.There are 2 left hepatic lobe T2 hyperintense foci (series 7 images 5, 11) that demonstrate peripheral nodular arterial enhancement that fill in with contrast on venous and delayed phases consistent with benign hemangiomas. These lesions measure 1.4 x 0.8 cm (series 10 image 271) and 0.9 x 1.2 cm (series 10 image 288). Adjacent to the more lateral hemangioma, there is a subcentimeter nonenhancing T2 hyperintense cyst (series 7 image 4, series 10 image 291). An additional T2 hyperintense focus in the right hepatic lobe (series 7 image 8) also demonstrates peripheral nodular arterial enhancement that fills in with contrast on venous and delayed phases consistent with a benign hemangioma measuring 0.7 x 0.8 cm (series 10 image 280).SPLEEN: No significant abnormality noted. No evidence for iron deposition within the reticuloendothelial system.PANCREAS: Normal bright T1 precontrast hyperintense signal of the pancreatic parenchyma. No pancreatic ductal dilatation.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Probable left-sided parapelvic cysts. Small hyperintensities of the right lower renal pole are too small to characterize and favored to be cystic.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Small T2 hyperintense focus with loss of signal intensity on fat saturated sequences of the T12 and L3 vertebral bodies are most consistent with benign osseous hemangiomas (series 5 images 12, 25). An additional T2 hyperintense probable osseous hemangioma of the L4 vertebral body is only included on the coronal phase (series 4 image 14).OTHER: No significant abnormality noted.
1. Benign hepatic hemangiomas of the left and right hepatic lobes as described above.2. Iron deposition of the hepatic parenchyma.