How Do I Interpret Liver Lesions in Cirrhosis?
JeongHee Yoon1
1Seoul National University Hospital, Republic of Korea
Synopsis
The
differential diagnosis of hepatic observations is often challenging. Liver MRI
has been increasingly used for characterization of hepatic observations.
Target audience
The most common primary
malignancy is hepatocellular carcinoma (HCC). In our practice, it would be our
primary goal to decide whether an observation is HCC or cirrhotic nodule in
cirrhosis. However, there is an overlap of imaging features between cirrhotic
nodules and HCC. Also, malignancies other than HCC can develop in cirrhosis. In
addition, HCC sometimes mimics other malignancies by showing atypical
appearances. In this talk, we will review cases of hepatic observations
commonly found in cirrhotic liver, focusing on features in gadoxetic
acid-enhanced liver MRI. Both typical and challenging cases will be discussed
using terms of LI-RADS v.2018 in different clinical settings. At the end of
this talk, participants will be able to understand different pathologies in the
cirrhotic liver and describe characteristic features.Acknowledgements
noneReferences
none
Proc. Intl. Soc. Mag. Reson. Med. 28 (2020)