MRI of liver lesions

In the setting of a patient with cirrhosis, a solid nodular lesion found during ultrasound (US) surveillance has a high likelihood of being a hepatocelluar carcinoma (HCC). However, it has been shown by pathologic studies that many small nodules detected by US in cirrhotic livers do not correspond to HCC. The differenzial diagnosis between small HCC and non-malignant hepatocellular lesions may be very challenging. Nodules detected during US surveillance are further investigated with dynamic imaging techniques – including contrast-enhanced US, contrast-enhanced multidetector computed tomography (MDCT), and contra…