Abnormal ultrasound demonstrating numerous liver lesions. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in morphology, signal intensity and size. Normally distended gallbladder. No intra or extrahepatic biliary duct dilatation.There are several T2 intrinsic hyperintense well-defined lesions with lobular margins in both the right and left hepatic lobe. The largest is a segment 5 lesion measuring 5.8 x 5.2 cm (series 500/64) with a subtle T2 hyperintense central scar. The lesions demonstrate homogeneous arterial enhancement and remain mildly hyperintense on subsequent imaging. One hour delayed imaging in the hepatobiliary phase demonstrates hepatobiliary agent uptake.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: No significant abnormality noted.
Several bilobed liver lesions with characteristics most compatible with multiple focal nodular hyperplasia the largest of which measures 5.8 cm in segment 5. Given their size and location 1-year-old follow-up is recommended to confirm size stability.