Focal lesions in cirrhotic liver: what else beyond hepatocellular carcinoma?

Journal Article (Journal Article)

Detection and characterization of focal lesions in the cirrhotic liver may pose a diagnostic dilemma. Several benign and malignant lesions may be found in a cirrhotic liver along with hepatocellular carcinoma (HCC), and may exhibit typical or atypical imaging features. In this pictorial essay, we illustrate computed tomography and magnetic resonance imaging findings of lesions such as simple bile duct cysts, hemangioma, focal nodular hyperplasia-like nodules, peribiliary cysts, intrahepatic cholangiocarcinoma, lymphoma, and metastases, all of which occur in cirrhotic livers with varying prevalences. Pseudolesions, such as perfusion anomalies, focal confluent fibrosis, and segmental hyperplasia, will also be discussed. Imaging characterization of non-HCC lesions in cirrhosis is important in formulating an accurate diagnosis and triaging the patient towards the most appropriate management.

Full Text

Duke Authors

Cited Authors

  • Galia, M; Taibbi, A; Marin, D; Furlan, A; Dioguardi Burgio, M; Agnello, F; Cabibbo, G; Van Beers, BE; Bartolotta, TV; Midiri, M; Lagalla, R; Brancatelli, G

Published Date

  • 2014

Published In

Volume / Issue

  • 20 / 3

Start / End Page

  • 222 - 228

PubMed ID

  • 24509186

Pubmed Central ID

  • PMC4463346

Electronic International Standard Serial Number (EISSN)

  • 1305-3612

Digital Object Identifier (DOI)

  • 10.5152/dir.2014.13184


  • eng

Conference Location

  • Turkey