Demographics:
38 years old, Female
Indication:
Right upper quadrant pain
Findings
Lower chest
- No acute findings
Abdomen/Pelvis
- Intermediate attenuation right hepatic subcapsular collection measuring 14 x 5 x 16 cm, which is in continuity with an intrahepatic collection with similar imaging characteristics in the inferior aspect of the right hepatic lobe measuring 6 x 6 x 7 cm
- Ill-defined hyperenhancing hepatic lesions in segments 5 and 8, with enhancing soft tissue extending along the periphery of the intrahepatic collection
- No intraperitoneal collection
MSK
- No acute findings
- Small fat-containing umbilical hernia
Diagnosis
Ruptured hepatic adenoma
Sample Report
Large hepatic subcapsular hematoma measuring 14 x 5 x 16 cm, which is in continuity with an intrahepatic hematoma in the inferior aspect of the right hepatic lobe measuring 6 x 6 x 7 cm. Adjacent to the parenchymal hematoma, there are ill-defined hyperenhancing hepatic lesions in segments 5 and 8, which are favored to represent adenomas in the absence of history of malignancy and are the likely source for hemorrhage. Recommend surgical evaluation and followup liver protocol MRI for further assessment.
Discussion