39-year-old female. Follow-up lesion from 11/20/2015. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in morphology, size and signal intensity. There are multiple small well-defined T1-weighted hypointense lesions demonstrating peripheral nodular discontinuous enhancement, which progresses centrally compatible with multiple cavernous hemangiomas. The hepatic segment 7, there are 2 subcentimeter flash-filling hemangiomas (axial series 10 image 37) only seen in the arterial phase. In the peripheral right hepatic lobe, there is a stable septated cyst (axial series 7 image 8).SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: The left adrenal fossa lesion is similar in size measuring 2.6 x 1.9 cm (axial series 11 image 41). The lesion again appears separate from the adrenal gland, pancreas, kidney and spleen. The lesion demonstrates peripheral thick enhancement (axial series 10 image 38), which appears to progress centrally. This enhancement pattern is unchanged.KIDNEYS, URETERS: Few simple cysts.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. The left retroperitoneal mass is stable in size and again demonstrates peripheral thick enhancement which progresses centrally. The differential is unchanged.2. Multiple typical hepatic hemangiomas. Additionally, there are 2 subcentimeter presumably flash-filling hemangiomas in hepatic segment 7. Attention on follow-up imaging is recommended. 