66-year-old woman with coarse hepatic echotexture and possible mass in the dome of the liver seen on recent ultrasound. ABDOMEN:LIVER, BILIARY TRACT: In segment 8 of the liver (601/36), there is an 83 x 73 mm multilobulated lesion. This lesion is markedly T2 hyperintense. Additionally, there is peripheral nodular enhancement of this lesion on the delayed postcontrast images (1504/84). This lesion appears hyperechoic on comparison ultrasound.Additional, smaller lesions with similar imaging characteristics are noted in the right lobe and measure up to 2 cm.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Simple right renal cysts noted. Left kidney appears normal.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Significant dielectric artifact from the distended stomach. The remaining, partially visualized small bowel and colon otherwise appear normal.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Small-moderate bilateral pleural effusions noted.
1.Significantly limited study due to failure of fat saturation and dielectric artifact from a markedly distended stomach. The perfusion sequences are nondiagnostic. 2.Large lesion in segment 8 of the liver with smaller similar lesions scattered throughout the right lobe. Due to the aforementioned limitations, imaging findings are suggestive but not entirely diagnostic of hemangiomata. 3.Follow up MR imaging can be considered in 3-6 months or the perfusion sequences can be repeated at no additional cost to the patient.