67-year-old female with fatty liver, abnormal liver imaging. Unclear if OSH scan shows hemangioma versus malignancy. Consider using Eovist. ABDOMEN:LIVER, BILIARY TRACT: In hepatic segment 6, there is a 1 x 0.9 cm mild T2 hyperintense focus demonstrating nodular peripheral enhancement that fills in on delayed imaging compatible with a benign hemangioma (series 801 image 19, series 1104 image 199, series 1105 image 208).In hepatic segment 2, there is a 4.6 x 3.7 cm mildly T2 hyperintense (coronal series 701 image 13) T1 hypointense (series 1102 image 305) lesion with a gentle lobulated border. This lesion demonstrates right-sided unilateral linear enhancement (series 1103 image 290) that fills in during the venous and delayed phases (series 1104 image 303, series 1105 image 312). No washout is identified.Additional small cysts are seen scattered throughout the liver.No biliary ductal dilatation. Normal gallbladder.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Punctate T2 hyperintense focus of the left upper renal pole is too small to fully characterize, favor cystic.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Compression deformity of the T12 vertebral body is of indeterminate age (series 201 image 12).OTHER: No significant abnormality noted.
1.Hepatic segment 2 lesion measuring 4.6 x 3.7 cm with enhancement characteristics most suggestive of an atypical hemangioma. Consider follow-up imaging for stability. 2.Small typical hemangioma in hepatic segment 6.