Liver tumors

Question 1

Answer 1

FNH

Question 2

Answer 2

intrahepatic cholangiocarcinoma

Question 3

Answer 3

hepatic abscesses

Question 4

Answer 4

Question 5

Answer 5

Question 6

Answer 6

Question 7

Answer 7

hepatic hemangioma

Question 8

Answer 8

Question 9

Answer 9

intrahepatic cholangiocarcinoma

Question 10

Answer 10

Multifocal hepatic steatosis

Question 11

Answer 11

Focal hepatic steatosis. Vessels course through hypoattenuating lesion which does not demonstrate mass effect.

Question 12

30 yoF with no sig past medical history

Answer 12

Hepatic adenomatosis. >10 lesions, loss of signal on out of phase

Question 13

Cholangiocarcinoma risk factors

Answer 13

• liver flukes
• heaptolithiasiss, recurrent pyogenic cholangitis
• PSC
• cirrhosis
• HBV, HCV
• Caroli disease

Question 14

Answer 14

Mass-forming cholangiocarcinomas:

• are typically homogeneously low in attenuation on noncontrast scans, and demonstrate heterogeneous minor peripheral enhancement with gradual centripetal enhancement .
• progressive enhancement (degree of enhancement depends on amount of fibrosis)
• capsular retraction may be evident. The bile ducts distal to the mass are typically dilated.

Although narrowing of the portal veins - or less frequently, hepatic veins - is seen, unlike HCC, cholangiocarcinoma only rarely forms a tumor thrombus

Lobar or segmental hepatic atrophy is usually associated with vascular invasion

Question 15

Answer 15

Question 16

Answer 16

Hemosiderosis

Question 17

Answer 17

Question 18

Answer 18

https://radiopaedia.org/cases/cirrhosis-and-hepatocellular-carcinoma-in-the-setting-of-haemochromatosis?lang=us

Question 19

What is an intrahepatic cholagniocarcinoma

Answer 19

adenocarcinoma of the intrahepatic bile ducts

Question 20

Answer 20

Question 21

Answer 21

Question 22

second most common hepatic malignancy

Answer 22

intrahepatic cholangiocarcinoma

Question 23

differential for liver mass with progressive enhancement

Answer 23

intrahepatic cholangiocarcinoma

Epitheloid hemangioendothelioma

Solitary fibrous tumor

Question 24

peak age of intrahepatic cholangiocarcinoma

Answer 24

seventh decade of life

Question 25

Answer 25

large HCC

Question 26

multiple peripheral lesions demonstrating progressive filling, “lollipop sign”

Answer 26

epithelioid hemangioendothelioma

Question 27

demographics for epithelioid hemangioendothelioma

Answer 27

middle aged women

Question 28

Answer 28

epithelioid hemangioendothelioma

Question 29

Answer 29

biliary cystadenoma

Question 30

Answer 30

Question 31

name the sequence

Answer 31

T1 fat sat precontrast