‫مركز الدرة لالشعة‬

Date: 12-7-2022 File: DRC2022

Name: NIRAJ GHIMIRE Age: 38
Card No: F53C-DA93-D9C0-503E Ref. Doctor: Dr. AKRAM ALI

MRI ABDOMEN

Clinical Information:
Hepatic hemangioma, fatty liver

Technique:
Multiplane imaging was acquired through the upper abdomen. 3D T2 weighted imaging was acquired, and MIP
reconstructions of the biliary tree performed.

Multiphase post-Contrast imaging was acquired

Findings:

Liver has a normal size and shape with normal signal on all sequences but there is signal drop in out of phase
images. No intra-hepatic duct dilation. The portal and hepatic veins are normal. About 12 mm mass noted in left
hepatic lobe which is hypointense in T2 and hyperintense in T2, it shows delayed strong enhancement. Another
6 mm similar mass noted in segment 5 of right hepatic lobe.

No abnormal enhancement is seen on the arterial, portal venous or early delayed images.

The extra-hepatic biliary tree has a normal appearance.

Absent gallbladder, fat pad noted in GB fossa.

Pancreas has a normal size, shape, and signal, with no duct dilation.

Spleen is unremarkable.

Adrenals are unremarkable.

Kidneys are normal.

Visualized bowel is unremarkable.

No gas is seen. No bony abnormality is identified.

 ‫مركز الدرة لالشعة‬

Conclusion:
 About 12 mm mass noted in left hepatic lobe which is hypointense in T2 and hyperintense in T2, it shows
delayed strong enhancement. Another 6 mm similar mass noted in segment 5 of right hepatic lobe. Signal
intensities and mass shape looks like of hemangioma but delayed strong enhancement does not support
hemangioma (goes more with fibrous lesions and some metastasis)
 Mild fatty liver infiltration about 15%.
 Absent gallbladder, fat pad noted in GB fossa. (history of cholecystectomy)

Al Durrah Radiology Center

Specialist Radiologist