49-year-old woman with history of FNH and NASH. ABDOMEN:LIVER, BILIARY TRACT: There is a questionable, vague area of delayed enhancement corresponding to the previously seen lesion in the right lobe of the liver. There is a T2 hyperintense, lobulated lesion in segment 3 measuring 30 x 23 mm (series 6, image 21), previously measured 10 x 6 mm, and a T2 hyperintense lobulated lesion in segment 7 measuring 23 x 16 mm (series 6, image 12), previously measured 8 x 8 mm. These lesions gradually fill-in on later phases of contrast enhanced imaging. Diffuse loss of signal in the hepatic parenchyma on opposed phase imaging is noted. There is no intra or extrahepatic biliary duct dilatation. The gallbladder is normal.SPLEEN: The spleen is normal. Accessory splenule is noted.PANCREAS: The pancreas is normal.ADRENAL GLANDS: The adrenal glands are normal.KIDNEYS, URETERS: There is a 21 x 17 mm exophytic lesion in the inferior pole of the right kidney (series 12, image 111) which is heterogeneous in appearance on T1 and T2-weighted images but demonstrates loss of signal on the opposed phase images (series 1102, image 111). Although not optimally visualized on the study from 2004, this lesion appears grossly stable. A punctate T2 hyperintense lesion in the left renal mid pole (series 9, image 23) is likely a cyst.RETROPERITONEUM, LYMPH NODES: No significant lymphadenopathy noted.BOWEL, MESENTERY: The visualized small bowel and colon are normal.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Bilateral ovarian cysts are noted.
1.Near completely resolved focal nodular hyperplasia of the liver. 2.Multiple hepatic hemangiomas, increased in size from 2004.3.Exophytic right renal lesion with imaging features favoring that of an AML, grossly stable from 2004.4.Fatty infiltration of the liver.