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Pitfalls with Masses of the Liver
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Audience: Radiology Residents Fellows and Attendings
Learning Objectives:
Identify the distinguishing features of the most common hypervascular and hypovascular masses of the liver
Compare and contrast common benign and malignant liver lesions
Recognize exceptions and atypical presentations of lesions, particularily with Eovist/Primovist
Summary:
Sclerosed hemangiomas are a diagnosis of exclusion and can resemble metastasis or cholangiocarcinoma
Enhancement patterns of hemangioma can be atypical with Eovist
Well differentiated HCC, Adenoma, and rarely metastases can take up Eovist
Neuroendocrine tumor has a highly variable enhancement pattern
Focal fat can appear mass like
FNH demonstrates focal fatty sparing
Learning Objectives:
Identify the distinguishing features of the most common hypervascular and hypovascular masses of the liver
Compare and contrast common benign and malignant liver lesions
Recognize exceptions and atypical presentations of lesions, particularily with Eovist/Primovist
Summary:
Sclerosed hemangiomas are a diagnosis of exclusion and can resemble metastasis or cholangiocarcinoma
Enhancement patterns of hemangioma can be atypical with Eovist
Well differentiated HCC, Adenoma, and rarely metastases can take up Eovist
Neuroendocrine tumor has a highly variable enhancement pattern
Focal fat can appear mass like
FNH demonstrates focal fatty sparing
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