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MRI Liver Hemangioma

Comparison: Most recent imaging study of the liver available for comparison is ultrasound survey dated 16 March 2009. No previous liver MR is available for comparison. Technique: Precontrast axial T1 in and out of phase, axial T1 3-D VIBE, axial T2, coronal T2; after intravenous injection of 6 mL Eovist, dynamic axial T1 3-D VIBE with immediate, one minute, 2 minute, 10 minute and 20 minute imaging and 20 minute coronal T1 3-D vibe. Findings: There are several well-circumscribed focal liver lesions. The largest of these is located posteriorly in the right lobe and measures 2.2 x 1.6 cm. It demonstrates high T2 signal intensity and early peripheral globular enhancement, with no enhancement on delayed imaging. A left lobe lesion measuring 1.0 x 1.0 cm has the same imaging characteristics. A small lesion located posterior to the middle hepatic vein at the junction of right and left lobes measures 0.8 x 0.7 cm, it shows high T2 signal and no enhancement. Larger lesions show slight increase in size from the 2009 comparison study. The smaller lesion was not previously identified. Impression: Slight enlargement of 2 hepatic hemangiomas. Simple hepatic cyst.