Case

Contributed by :

abdomenrad

Patient Data :


Age : 22 - Gender : Male

Diagnosis :

Liver adenomatosis

Findings :

On T2 axial images multipl hyperintense mass lesions in the liver are seen. The lesions are hyperintense on T1 weighted images. After contrast injection, lesions show homogenous significant enhancement in arterial phase and subtraction images. Some of the lesions show persistant enhancement in delayed phases as seen on subtraction images.

History :

A patient with a complaint of mild abdominal pain. In clinical examination, hepatomegaly and scoliosis was observed. In his family history, a sibling was diagnosed with glicogen storage disease
     
     
     
Comments
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murat eses ;
11/3/2014 1:28:30 PM
multiple adenomas of the liver
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Anonymous ;
11/3/2014 3:55:24 PM
Adenomatosis, but where is the in and out of phase gradient echo?
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Dr Frost ;
11/3/2014 11:41:31 PM
Then what's the next step? Follow up,surgery, medications etc.. I'm Curiously wait your opinions..
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Kerem ;
11/4/2014 6:06:04 PM
Surgical treatment is necessary only if malignant transformation or severe intraperitoneal haemorrhage due to adenoma rupture occur. Radiologic follow up and medical treatment for abdominal pain are enough for this patient in my opinion.
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Dr.Aslan ;
11/4/2014 9:39:03 PM
Adenomatosis hepatica !!!
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