*WlwG Abdo Liver

Question 1

Liver: Mass in <6 months old with raised endothelial growth factor

Answer 1

Infantile haemangioma

Question 2

Liver: Mass in <5 year old with raised AFP

Answer 2

Hepatoblastoma

Question 3

Liver: Mass in <5 year old with normal AFP

Answer 3

Mesenchymal hamartoma

Question 4

Liver: Mass in 5-20 year old with raised AFP

Answer 4

Classic HCC (aka Hepatoma)

Question 5

Liver: Mass in 5-20 year old with normal AFP, central non-enhancing scar

Answer 5

Fibrolamellar HCC

Question 6

Liver: Solid-cystic mass in 5-20 year old

Answer 6

Embryonal sarcoma

Question 7

Liver: Multiple liver masses in 5-20 year old

Answer 7

Mets from Neuroblastoma/Wilms

Question 8

Liver: Raised LFT with fatty liver

Answer 8

NASH

Question 9

Liver: Raised LFT in pregnancy

Answer 9

HELLP syndrome

Question 10

Liver:Hepatomegaly with small veins/IVC

Answer 10

Budd-chiari (DVT in pregnancy)

Question 11

Liver: Hepatomegaly with normal veins/IVC following stem cell transplant

Answer 11

Hepatic Veno-Occlusive Disease (fibrosis of hepatic veins this normal size)

Question 12

Liver: Hepatomegaly with large veins/IVC

Answer 12

Hepatic congestion (Right heart failure backflow)

Question 13

Liver: CT hypo, in-high, out-low

Answer 13

Fatty liver (“High in fat”)

Question 14

Liver: CT-hyper, in-low, out-high, T1/T2-hypo

Answer 14

Haemochromatosis (“Iron sinks, so hyperdense”)

Question 15

Liver: CT nodular, left lobe hypertrophy

Answer 15

Cirrhosis

Question 16

Liver: CT nutmeg-appearance with peripheral enhancement

Answer 16

Budd-chiari (DVT in pregnancy)

Question 17

Liver: CT/US/MRI all hypo nodules

Answer 17

Sarcoid liver

Question 18

Liver: Raised serum ACE

Answer 18

Sarcoid liver

Question 19

Liver: Starry sky on US

Answer 19

Viral Hep, due to fat dots within liver oedema

Question 20

Liver: Sandstorm/multilocular cyst with wall calcs on US

Answer 20

Hydatid cyst

Question 21

Liver: Bullseye appearance of US

Answer 21

Candida

Question 22

Liver: Tortoise shell appearance on US

Answer 22

Shistosomiasis

Question 23

Liver: Wedge shape CT hypo, T1-hypo, T2-hyper

Answer 23

Focal confluent fibrosis

Question 24

Liver: Wedge shape CT enhancing

Answer 24

Arterio-portal shunt

Question 25

Liver MRI: T1-hypo, T2-hypo, diffuse

Answer 25

Haemochromatosis

Question 26

Liver MRI: T1-hypo, T2-hypo focal

Answer 26

Siderotic (iron) regeneration nodule

Question 27

Liver MRI: Focal T1-hyper, T2-hypo, cirrhosis

Answer 27

Fatty regeneration nodule or dysplastic nodule

Question 28

Liver MRI: Focal T1-hyper, T2-hypo, CT-hyper

Answer 28

Portal vein thrombosis

Question 29

Liver MRI: Focal, T1-hypo, T2-hyper, non-enhancing

Answer 29

Cyst

Question 30

Liver MRI: Focal, T1-hypo, T2-hyper, US-anaechoic

Answer 30

Cyst

Question 31

Liver MRI: Focal, T1-hypo, T2-hyper, enhancing

Answer 31

Haemangioma

Question 32

Liver MRI: Focal, T1-hypo, T2-hyper, US-hyper

Answer 32

Haemangioma

Question 33

Liver MRI: Wedge shape, T1-hypo, T2-hyper

Answer 33

Focal confluent fibrosis

Question 34

Liver MRI: Focal, T1-hypo, T2-hyper, US-hypo

Answer 34

HCC

Question 35

Liver MRI: Diffuse, T1-hypo, T2-hyper

Answer 35

Hepatitis

Question 36

Liver MRI: T1/T2-hyper, US-hyper, focal

Answer 36

AML

Question 37

Liver MRI: T1/T2-hyper, diffuse

Answer 37

Fatty liver

Question 38

Liver: CT-hypo with peripheral enhancement

Answer 38

Abscess (eg bacteria/amoeba)

Question 39

Liver: CT-hyper causes

Answer 39

Haemochromatosis or Glycogen Storage Disease ("Iron and plants are heavy, so hyperdense")

Question 40

Liver MRI: Multi-focal, T1-hypo, T2-hyper, enhancing

Answer 40

Haemangio-Endothelioma