eMedicine Specialties > Radiology > Gastrointestinal

Hepatic Adenoma: Multimedia

Author: Karen Kodsi Garfield, MD, Attending Physician in Body Imaging, Department of Radiology, St Luke's Hospital
Coauthor(s): Sandor Joffe, MD, Section Chief of Abdominal Imaging, Department of Radiology, Beth Israel Medical Center; Stephen A Okon, MD, Consulting Staff, Assistant Professor of Radiology, Department of Radiology, Beth Israel Medical Center
Contributor Information and Disclosures

Updated: Feb 6, 2009

Multimedia

Ultrasound in a patient with von Gierke disease (...Media file 1: Ultrasound in a patient with von Gierke disease (glycogen storage disease type 1) and several hepatic adenomas (same patient in Images 1-9). This image shows a mass in the right lobe of the liver that is predominantly isoechoic relative to the liver parenchyma and contains a small, round, hypoechoic component. The 2 masses appear slightly hypoechoic.
Ultrasound in a patient with von Gierke disease (...

Ultrasound in a patient with von Gierke disease (glycogen storage disease type 1) and several hepatic adenomas (same patient in Images 1-9). This image shows a mass in the right lobe of the liver that is predominantly isoechoic relative to the liver parenchyma and contains a small, round, hypoechoic component. The 2 masses appear slightly hypoechoic.

T2-weighted fat-saturated fast spin-echo axial ma...Media file 2: T2-weighted fat-saturated fast spin-echo axial magnetic resonance image in a patient with von Gierke disease (same patient in Images 1-9). This image shows 2 heterogeneous, hyperintense masses in the right lobe of the liver.
T2-weighted fat-saturated fast spin-echo axial ma...

T2-weighted fat-saturated fast spin-echo axial magnetic resonance image in a patient with von Gierke disease (same patient in Images 1-9). This image shows 2 heterogeneous, hyperintense masses in the right lobe of the liver.

T1-weighted in-phase magnetic resonance image in ...Media file 3: T1-weighted in-phase magnetic resonance image in a patient with von Gierke disease (same patient in Images 1-9). This image demonstrates normal hepatic signal intensity that is hyperintense relative to the spleen. Two heterogeneous masses that represent hepatic adenomas are seen in the right lobe and are slightly hypointense relative to the liver parenchyma.
T1-weighted in-phase magnetic resonance image in ...

T1-weighted in-phase magnetic resonance image in a patient with von Gierke disease (same patient in Images 1-9). This image demonstrates normal hepatic signal intensity that is hyperintense relative to the spleen. Two heterogeneous masses that represent hepatic adenomas are seen in the right lobe and are slightly hypointense relative to the liver parenchyma.

T1-weighted out-of-phase magnetic resonance image...Media file 4: T1-weighted out-of-phase magnetic resonance image in a patient with von Gierke disease (same patient in Images 1-9). This image shows abnormal low signal intensity of the liver, hypointense relative to the spleen, representing fatty infiltration of the liver. The hepatic adenomas are heterogeneous and slightly hyperintense relative to the fatty liver.
T1-weighted out-of-phase magnetic resonance image...

T1-weighted out-of-phase magnetic resonance image in a patient with von Gierke disease (same patient in Images 1-9). This image shows abnormal low signal intensity of the liver, hypointense relative to the spleen, representing fatty infiltration of the liver. The hepatic adenomas are heterogeneous and slightly hyperintense relative to the fatty liver.

Single-shot fast spin-echo T2-weighted coronal ma...Media file 5: Single-shot fast spin-echo T2-weighted coronal magnetic resonance image in a patient with von Gierke disease (same patient in Images 1-9). This image shows a hyperintense mass in the right lobe of the liver and an additional hyperintense mass in the inferior tip of the liver, representing a third hepatic adenoma.
Single-shot fast spin-echo T2-weighted coronal ma...

Single-shot fast spin-echo T2-weighted coronal magnetic resonance image in a patient with von Gierke disease (same patient in Images 1-9). This image shows a hyperintense mass in the right lobe of the liver and an additional hyperintense mass in the inferior tip of the liver, representing a third hepatic adenoma.

Fat-saturated 3-dimensional T1-weighted gradient-...Media file 6: Fat-saturated 3-dimensional T1-weighted gradient-echo magnetic resonance image in a patient with von Gierke disease (same patient in Images 1-9). This image shows 2 heterogeneous, slightly hyperintense masses in the right lobe of the liver.
Fat-saturated 3-dimensional T1-weighted gradient-...

Fat-saturated 3-dimensional T1-weighted gradient-echo magnetic resonance image in a patient with von Gierke disease (same patient in Images 1-9). This image shows 2 heterogeneous, slightly hyperintense masses in the right lobe of the liver.

Gadolinium-enhanced fat-saturated 3-dimensional T...Media file 7: Gadolinium-enhanced fat-saturated 3-dimensional T1-weighted gradient-echo magnetic resonance image in a patient with von Gierke disease (same patient in Images 1-9). This image shows intense enhancement of the hepatic adenomas.
Gadolinium-enhanced fat-saturated 3-dimensional T...

Gadolinium-enhanced fat-saturated 3-dimensional T1-weighted gradient-echo magnetic resonance image in a patient with von Gierke disease (same patient in Images 1-9). This image shows intense enhancement of the hepatic adenomas.

Gadolinium-enhanced fat-saturated 3-dimensional T...Media file 8: Gadolinium-enhanced fat-saturated 3-dimensional T1-weighted gradient-echo magnetic resonance image in a patient with von Gierke disease (same patient in Images 1-9). This image shows that the hepatic adenoma remains hyperintense relative to the liver parenchyma.
Gadolinium-enhanced fat-saturated 3-dimensional T...

Gadolinium-enhanced fat-saturated 3-dimensional T1-weighted gradient-echo magnetic resonance image in a patient with von Gierke disease (same patient in Images 1-9). This image shows that the hepatic adenoma remains hyperintense relative to the liver parenchyma.

Gadolinium-enhanced fat-saturated 3-dimensional T...Media file 9: Gadolinium-enhanced fat-saturated 3-dimensional T1-weighted gradient-echo magnetic resonance image in a patient with von Gierke disease (same patient in Images 1-9). This image shows that the hepatic adenoma remains hyperintense relative to the liver parenchyma.
Gadolinium-enhanced fat-saturated 3-dimensional T...

Gadolinium-enhanced fat-saturated 3-dimensional T1-weighted gradient-echo magnetic resonance image in a patient with von Gierke disease (same patient in Images 1-9). This image shows that the hepatic adenoma remains hyperintense relative to the liver parenchyma.

Noncontrast computed tomography scan in a 41-year...Media file 10: Noncontrast computed tomography scan in a 41-year-old woman with a history of oral contraceptive use (same patient in Images 10-12). This image demonstrates a heterogeneous, low-attenuation mass in the right lobe of the liver, a hepatic adenoma.
Noncontrast computed tomography scan in a 41-year...

Noncontrast computed tomography scan in a 41-year-old woman with a history of oral contraceptive use (same patient in Images 10-12). This image demonstrates a heterogeneous, low-attenuation mass in the right lobe of the liver, a hepatic adenoma.

Contrast-enhanced computed tomography scan in the...Media file 11: Contrast-enhanced computed tomography scan in the portal venous phase in a 41-year-old woman with a history of oral contraceptive use (same patient in Images 10-12). This image demonstrates a heterogeneous, enhancing mass, a hepatic adenoma, predominantly isoattenuating relative to the liver with areas of low attenuation.
Contrast-enhanced computed tomography scan in the...

Contrast-enhanced computed tomography scan in the portal venous phase in a 41-year-old woman with a history of oral contraceptive use (same patient in Images 10-12). This image demonstrates a heterogeneous, enhancing mass, a hepatic adenoma, predominantly isoattenuating relative to the liver with areas of low attenuation.

Technetium-99m (<SUP>99m</SUP>Tc)–labeled r...Media file 12: Technetium-99m (99mTc)–labeled red blood cell single-photon emission computed tomography scintigraphy in a 41-year-old woman with a history of oral contraceptive use (same patient in Images 10-12). This image shows no demonstrable activity in the hepatic mass, indicating that it does not represent a hemangioma.
Technetium-99m (<SUP>99m</SUP>Tc)–labeled r...

Technetium-99m (99mTc)–labeled red blood cell single-photon emission computed tomography scintigraphy in a 41-year-old woman with a history of oral contraceptive use (same patient in Images 10-12). This image shows no demonstrable activity in the hepatic mass, indicating that it does not represent a hemangioma.

More on Hepatic Adenoma

Overview: Hepatic Adenoma
Imaging: Hepatic Adenoma
Follow-up: Hepatic Adenoma
Multimedia: Hepatic Adenoma
References
Further Reading

References

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Keywords

hepatic adenoma, hepatocellular adenoma, liver adenoma, liver tumor, HA, benign liver tumor, benign epithelial tumor of the liver, liver cell adenoma, hepatocellular carcinoma, HCC, focal nodular hyperplasia, FNH, Kupffer cells, Kupffer's cells

Contributor Information and Disclosures

Author

Karen Kodsi Garfield, MD, Attending Physician in Body Imaging, Department of Radiology, St Luke's Hospital
Karen Kodsi Garfield, MD is a member of the following medical societies: American College of Radiology, American Medical Association, and Radiological Society of North America
Disclosure: Nothing to disclose.

Coauthor(s)

Sandor Joffe, MD, Section Chief of Abdominal Imaging, Department of Radiology, Beth Israel Medical Center
Sandor Joffe, MD is a member of the following medical societies: American College of Radiology, American Roentgen Ray Society, and Radiological Society of North America
Disclosure: Nothing to disclose.

Stephen A Okon, MD, Consulting Staff, Assistant Professor of Radiology, Department of Radiology, Beth Israel Medical Center
Stephen A Okon, MD is a member of the following medical societies: American Medical Association and American Roentgen Ray Society
Disclosure: Nothing to disclose.

Medical Editor

Neela Lamki, MD, Professor, Department of Radiology, Sultan Qaboos University, Oman; Adjunct Professor, Department of Radiology, Baylor College of Medicine
Disclosure: Nothing to disclose.

Pharmacy Editor

Bernard D Coombs, MB, ChB, PhD, Consulting Staff, Department of Specialist Rehabilitation Services, Hutt Valley District Health Board, New Zealand
Disclosure: Nothing to disclose.

Managing Editor

Paul M Silverman, MD, Professor, Chief of Body Imaging, Chair in Diagnostic Imaging, Department of Radiology, University of Texas MD Anderson Cancer Center
Paul M Silverman, MD is a member of the following medical societies: American College of Radiology, American Roentgen Ray Society, Association of University Radiologists, and Radiological Society of North America
Disclosure: Nothing to disclose.

CME Editor

Robert M Krasny, MD, Consulting Staff, Department of Radiology, The Angeles Clinic and Research Institute
Robert M Krasny, MD is a member of the following medical societies: American Roentgen Ray Society and Radiological Society of North America
Disclosure: Nothing to disclose.

Chief Editor

John Karani, MBBS, FRCR, Consulting Staff, Department of Radiology, King's College Hospital, London
Disclosure: Nothing to disclose.

 
 
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