Reason: 47 year old female with known FNH, follow up imaging with Eovist for re-evaluation. Also, pt with right hepatic vein possible thrombus. follow up imaging for re-eval. History: FNH ABDOMEN:LIVER, BILIARY TRACT: The reference arterial enhancing lesion, with a central T2 hyperintense scar, within segment 5/6 of the liver measures 4.0 x 3.8 cm, previously 3.6 x 3.6 cm (image 51, series 100). This lesion is nearly isointense with the liver on all other sequences and demonstrates homogeneous restricted diffusion. The additional apparently enhancing reference lesion within segment 4B measures 1.7 x 1 .1 cm, previously 1.6 x 1.1 cm (image 53, series 100). Both of these lesions retain contrast on delayed post Eovist contrast enhanced sequences consistent with the stated history of FNH. The right hepatic vein is again noted to be narrowed and thrombosed with associated collateral vessels suggesting that this thrombosis is chronic.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.
1.No significant interval change in the reference hepatic lesions most compatible with focal nodular hyperplasia, with measurements provided above.2.Persistent chronic right hepatic vein thrombosis.