52-year-old female with history of acute liver inflammation with concern for autoimmune hepatitis. ABDOMEN:Motion artifact limits evaluation on multiple sequences. Within this limitation, the following observations are made.LIVER, BILIARY TRACT: Cirrhotic liver morphology with nodular contour and hypertrophy of the caudate lobe. 1.6 x 1.4 cm segment 7 lesion with suggestion of peripheral nodular enhancement and fill-in on delayed phase images, most likely a hemangioma.No biliary ductal dilation. Gallbladder is underdistended and demonstrates mild wall thickening with enhancement and mild pericholecystic free fluid, which is nonspecific in the setting of chronic liver disease.Hepatic and portal veins are patent.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: No significant abnormality noted.OTHER: Mild upper abdominal ascites.
1.Cirrhotic liver morphology.2.Probable segment 7 hemangioma. Short interval follow-up can be obtained to confirm this finding, particularly given motion artifact on the current exam.3.Gallbladder wall thickening and enhancement with pericholecystic fluid, nonspecific in the setting of chronic liver disease.