Case 2.27

Author(s):  
Christine U. Lee ◽  
James F. Glockner

51-year-old woman with advanced liver disease Axial fat-suppressed FSE T2-weighted images (Figure 2.27.1) and axial arterial, portal venous, and equilibrium phase postgadolinium 3D SPGR images (Figure 2.27.2) demonstrate macronodularity of the hepatic parenchyma, marked atrophy of the right hepatic lobe, and hypertrophy of the caudate lobe....

Author(s):  
Christine U. Lee ◽  
James F. Glockner

42-year-old woman with alcoholic liver disease with new pain, weight loss, and elevated liver function levels; abdominal CT showed a suspicious hepatic mass Axial fat-suppressed T2-weighted FSE (Figure 2.3.1) and fat-suppressed 2D SSFP (Figure 2.3.2) images demonstrate a nodular hepatic contour and underlying nodularity of the hepatic parenchyma with signal intensity slightly lower in the right hepatic lobe, as well as ascites. Axial T1-weighted IP and OP 2D SPGR images (...


Author(s):  
Christine U. Lee ◽  
James F. Glockner

54-year-old man with cirrhosis Axial precontrast 3D SPGR image (Figure 17.10.1A) demonstrates a nodular hepatic contour and moderate splenomegaly. Postgadolinium arterial (Figure 17.10.1B), portal venous (Figure 17.10.1C), and equilibrium phase (Figure 17.10.1D) images reveal a finger superimposing the left side of the abdomen (and pointing toward 2 arterial phase enhancing nodules in the periphery of the right hepatic lobe). Axial 2D SPGR image (...


Author(s):  
Christine U. Lee ◽  
James F. Glockner

1-month-old female infant with a renal or adrenal mass Axial fat-suppressed FSE T2-weighted images (Figure 6.11.1) reveal a large mass originating from the right adrenal gland with heterogeneously increased signal intensity. Extensive small hyperintense metastases essentially replace the visualized hepatic parenchyma. Axial fat-suppressed FSE images from the 6-week follow-up examination (...


Author(s):  
Christine U. Lee ◽  
James F. Glockner

55-year-old woman with chronic liver disease Axial fat-suppressed FSE T2-weighted images (Figure 2.23.1) demonstrate a cirrhotic liver with diffuse, innumerable, small low-signal-intensity nodules. Axial arterial, portal venous, and hepatobiliary phase postgadolinium (Eovist) 3D SPGR images (Figure 2.23.2) demonstrate heterogeneous enhancement of the background parenchyma, particularly in the right hepatic lobe. The multiple nodules are initially hypointense on arterial and portal venous phase images but become hyperintense relative to adjacent liver on the hepatobiliary phase image....


Author(s):  
Christine U. Lee ◽  
James F. Glockner

38-year-old man with a history of a benign asymptomatic chest mass and mild thrombocytopenia Coronal SSFSE (Figure 5.7.1) and axial fat-suppressed FSE T2-weighted images (Figure 5.7.2) show multiple large cystic lesions throughout the spleen. Note the fluid-fluid levels in the inferior FSE image as well as the cystic mass in the right upper chest on the SSFSE image. Axial postgadolinium equilibrium phase 3D SPGR images (...


Author(s):  
Christine U. Lee ◽  
James F. Glockner

80-year-old man with loss of energy and easy fatigability Coronal SSFSE (Figure 2.34.1), axial fat-suppressed FSE T2-weighted (Figure 2.34.2), and diffusion-weighted (b=100 s/mm2) (Figure 2.34.3) images demonstrate multiple heterogeneous hyperintense masses in the liver, with a large, poorly defined mass in the right hepatic lobe. Axial arterial, portal venous, and equilibrium phase postgadolinium 3D SPGR images (...


Author(s):  
Christine U. Lee ◽  
James F. Glockner

4-year-old boy with abdominal pain initially diagnosed as constipation. The pain worsened, and a CT demonstrated a hepatic mass Coronal SSFSE (Figure 1.23.1) and axial fat-suppressed FSE T2-weighted (Figure 1.23.2) images reveal a large heterogeneous mass in the right hepatic lobe, with markedly increased signal intensity. Axial precontrast and arterial, portal venous, and equilibrium phase postgadolinium 3D SPGR images (...


Author(s):  
Christine U. Lee ◽  
James F. Glockner

66-year-old woman with nausea, vomiting, and abdominal pain after a recent fundoplication. Abdominal CT revealed a right hepatic lobe mass Coronal SSFSE (Figure 1.2.1) and axial fat-suppressed FSE T2-weighted (Figure 1.2.2) images demonstrate a lobulated mass with high signal intensity in the right hepatic lobe. Axial arterial phase, portal venous phase, and coronal oblique reformatted equilibrium phase postgadolinium 3D SPGR images (...


Author(s):  
Christine U. Lee ◽  
James F. Glockner

59-year-old woman who presents for a second opinion of well-differentiated HCC that was biopsy proven elsewhere Axial fat-suppressed FSE T2-weighted images (Figure 1.10.1) demonstrate a lesion in the posterior right hepatic lobe with central hyperintensity surrounded by smaller foci of similar high signal intensity. Axial arterial, portal venous, and equilibrium phase postgadolinium 3D SPGR images (...


Author(s):  
Christine U. Lee ◽  
James F. Glockner

56-year-old man with abnormal liver function tests; abdominal US revealed a large hepatic mass Axial fat-suppressed FSE T2-weighted images (Figure 3.20.1) demonstrate a large heterogeneous, hyperintense mass in the right hepatic lobe. Arterial, portal venous, equilibrium, and delayed-phase postgadolinium 3D SPGR images (...


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