Q.간 검사 MRI 결과
작성일2017-05-15 오전 6:08:11
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EXAMINATION: MRI OF THE ABDOMEN WITH AND WITHOUT CONTRAST, 5/5/2017
9:15 AM EDT
ORDERED BY: SEUNG CHAE, M.D.
INDICATION: Liver mass and possible hemangioma.
COMPARISON: MRI 3/27/2017
TECHNIQUE: Multiplanar, multisequence MRI of the abdomen was obtained
before and after the administration of 7.5 milliliter GADAVISTV1
LIVER: No hepatic steatosis. Early arterial phase is limited by
contrast bolus timing. Again noted is a T2 hyperintense lesion in the
left hepatic lobe, not significantly changed in size measuring 2.1 x
1.9 cm. It has well-circumscribed borders and demonstrates enhancement
matching blood pool on all sequences. This does not demonstrate the
typical pattern for hemangioma with early interrupted nodular
peripheral enhancement however this may in part be due to somewhat
delayed early arterial phase. Its size would be somewhat large for a
flash filling hemangioma. No other focal hepatic lesions.
Geographic enhancement in the left hepatic lobe (series 10 image 21)
is seen on the early arterial phase but has no correlate on other
sequences and likely represents a perfusional defect.
BILIARY: Normal gallbladder. No ductal dilatation or filling defect.
PANCREAS: No mass or ductal dilatation.
SPLEEN: No splenomegaly.
ADRENALS: No nodules.
KIDNEYS: Kidneys enhance symmetrically. No hydronephrosis. Again noted
is a partially exophytic cyst in the right kidney, mid to lower
portion measuring up to 3.1 cm, similar to prior. It demonstrates a
fluid fluid level with intrinsic T1 hyperintensity layering
posteriorly. No enhancement on postcontrast and subtraction sequences.
This is consistent with Bosniak category 2 cyst. Additional renal foci
are too small for adequate characterization but also probably cysts.
PERITONEUM / RETROPERITONEUM: No upper abdominal free fluid.
LYMPH NODES: No upper abdominal lymphadenopathy.
BOWEL: Visualized portions are normal.
BONES AND SOFT TISSUES: Normal.
1. Stable, enhancing left hepatic mass. It demonstrates features
somewhat atypical for a hemangioma of this size, however this may be
secondary to suboptimal contrast bolus timing. Therefore, this likely
represents a hemangioma, however other etiologies cannot entirely be
excluded on this study. Follow-up suggested.
2. Probable perfusional defect in the left hepatic lobe, as above.
3. Bosniak category 2 right renal cyst.
4. Additional findings and details, and exam limitations, as above.
Signed by: Sara Petrillo M.D.
Signed on: 5/11/2017 2:11 PM EDT