6533b872fe1ef96bd12d3849

RESEARCH PRODUCT

Uncommon imaging evolutions of focal liver lesions in cirrhosis.

Giorgia PorrelloGiuseppe BrancatelliMassimo MidiriFederica VernuccioFederica VernuccioAlessandro FurlanAlberto CalandraRoberto Cannella

subject

Liver CirrhosisMalemedicine.medical_specialtyCirrhosisHepatic AngiomyolipomaHepatocellular carcinomaUrologyLiver neoplasm030218 nuclear medicine & medical imagingLiver cirrhosiHemangioma03 medical and health sciences0302 clinical medicineInternal medicinemedicineHumansRadiology Nuclear Medicine and imagingCystComputed tomographyAgedAged 80 and overRadiological and Ultrasound Technologymedicine.diagnostic_testbusiness.industryCystsLiver DiseasesLiver NeoplasmsGastroenterologyMagnetic resonance imagingHepatologyMiddle Agedmedicine.diseaseMagnetic Resonance ImagingLiverFocal Nodular Hyperplasia030220 oncology & carcinogenesisHepatocellular carcinomaFemaleRadiologyDifferential diagnosisbusinessTomography X-Ray Computed

description

Objective: The purpose of this article is to describe and illustrate uncommon imaging evolutions of benign (i.e., cyst, hemangioma, focal nodular hyperplasia-like nodules, and hepatic angiomyolipoma) and malignant (i.e., HCC and non HCC malignancies) lesions in a cirrhotic liver. The content highlights relevant pathogenesis and imaging clues for proper differential diagnosis. Revision of prior imaging and knowledge of these scenarios may help the abdominal radiologist to reach a noninvasive diagnosis and direct the patient to the most appropriate clinical management. Conclusion: Uncommon imaging evolutions of focal liver lesions in cirrhosis may represent a challenge for the abdominal radiologist, with atypical changes in size, and internal vascularization changes that may lead to misdiagnoses.

10.1007/s00261-019-02101-4https://pubmed.ncbi.nlm.nih.gov/31222462