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Hepatic adenoma

Tillman BGT - MedPix (2009)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Hepatic adenoma

History: 28 y/o woman with no significant medical hx only taking OCP presented with dysuria, polyuria, & left flank pain.

Findings: CT findings consistent with acute pyelonephritis involving left kidney. A large solid heterogeneously enhancing mass 14.1 x 9.9 x 14.6 cm is seen in the left upper quadrant which is associated with the left lobe of the liver displacing the spleen infra-medially. Some lower attenuating areas near the center of this lesion may represent necrosis. No calcification or cystic components. Prominent vessels are seen at the periphery of the lesion near the left lobe of the liver. The remainder of the liver demonstrates multiple round hypoattenuating foci of varying sizes, many of which are too small to characterize. MRI shows multiple lesions in the liver with the largest in the left lobe with similar imaging appearances as in the CT.

Ddx: Hepatocellular Adenoma (HA) Focal Nodular Hyperplasia (FNH) Hemangioma Hepatocellular Carcinoma (HCC) Fibrolamellar Carcinoma Hepatic Metastases Cholangiocarcinoma Liver Abscess

Dxhow: Surgical Resection and pathologic examination

Exam: Physical exam left costovertebral pain upon palpation UA Trace Leuko Est, Large Blood, 30mg/dl of protein, & WBC of 13. UA Culture positive for multiple bacterial growth LDH 377 U/L AST 36 U/L ALT 29 U/L AFP 0.7 U/L

No MeSH data available.


MRI shows multiple lesions in the liver with the largest in the left lobe with similar imaging appearances as in the CT
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MPX2507_synpic50873: MRI shows multiple lesions in the liver with the largest in the left lobe with similar imaging appearances as in the CT


Hepatic adenoma

Tillman BGT - MedPix (2009)

MRI shows multiple lesions in the liver with the largest in the left lobe with similar imaging appearances as in the CT
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2507&req=5

MPX2507_synpic50873: MRI shows multiple lesions in the liver with the largest in the left lobe with similar imaging appearances as in the CT

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Hepatic adenoma

History: 28 y/o woman with no significant medical hx only taking OCP presented with dysuria, polyuria, & left flank pain.

Findings: CT findings consistent with acute pyelonephritis involving left kidney. A large solid heterogeneously enhancing mass 14.1 x 9.9 x 14.6 cm is seen in the left upper quadrant which is associated with the left lobe of the liver displacing the spleen infra-medially. Some lower attenuating areas near the center of this lesion may represent necrosis. No calcification or cystic components. Prominent vessels are seen at the periphery of the lesion near the left lobe of the liver. The remainder of the liver demonstrates multiple round hypoattenuating foci of varying sizes, many of which are too small to characterize. MRI shows multiple lesions in the liver with the largest in the left lobe with similar imaging appearances as in the CT.

Ddx: Hepatocellular Adenoma (HA) Focal Nodular Hyperplasia (FNH) Hemangioma Hepatocellular Carcinoma (HCC) Fibrolamellar Carcinoma Hepatic Metastases Cholangiocarcinoma Liver Abscess

Dxhow: Surgical Resection and pathologic examination

Exam: Physical exam left costovertebral pain upon palpation UA Trace Leuko Est, Large Blood, 30mg/dl of protein, & WBC of 13. UA Culture positive for multiple bacterial growth LDH 377 U/L AST 36 U/L ALT 29 U/L AFP 0.7 U/L

No MeSH data available.