Female 21 years old Reason: Iron in liver detected on MRI of heart. Please evaluate for presence of iron and evaluate focal liver lesions. ABDOMEN:LIVER, BILIARY TRACT: There is signal dropout on in phase images throughout the liver diffusely indicative of substantial iron deposition. Multiple (greater than 10, difficult to quantify due to a number of punctate lesions) lobulated, arterially enhancing lesions are identified throughout both hepatic lobes. The largest lesion in the left hepatic lobe (segment 2) measures 1.8 x 2.0 cm. Some of the lesions demonstrate a T2 hyperintense central scar. The central scar enhances on delayed images at 3 minutes. All lesions retain contrast on delayed images greater than 1 hour, apart from the central scars which demonstrate washout of contrast. None of the lesions contain fat. The appearance is consistent with focal nodular hyperplasia, known to be associated with iron accumulation in patients treated in past for sarcoma.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.
1.Multiple liver lesions which are consistent with focal nodular hyperplasia with characteristic retention of contrast on hepatobiliary phase imaging.2.Diffuse iron deposition within the liver.