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Pseudolesions in the Cirrhotic Liver

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Imaging of the Liver and Intra-hepatic Biliary Tract

Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

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Abstract

This chapter analyses the different benign liver lesions and pseudolesions occurring in cirrhotic livers, such as regenerative nodules (RNs), siderotic nodules (SNs), nodular regenerative hyperplasia (NRH), large regenerative nodules (LRNs), perfusion defects and transient hepatic attenuation difference (THAD)/transient hepatic intensity difference (THID), hemangiomas in a cirrhotic liver, pseudomass in chronic portal vein thrombosis (PVT), confluent fibrosis and focal fatty changes, such as focal steatosis and fat sparing, focusing on imaging features helpful in achieving a correct diagnosis.

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References

  • Alpern MB, Lawson TL, Foley WD et al (1986) Focal hepatic masses and fatty infiltration detected by enhanced dynamic CT. Radiology 158:45–49

    Article  CAS  PubMed  Google Scholar 

  • Ames JT, Federle MP, Chopra K (2009) Distinguishing clinical and imaging features of nodular regenerative hyperplasia and large regenerative nodules of the liver. Clin Radiol 64:1190–1195

    Article  CAS  PubMed  Google Scholar 

  • Angulo P (2002) Nonalcoholic fatty liver disease. N Engl J Med 346:1221–1231

    Article  CAS  PubMed  Google Scholar 

  • Bhayana D, Kim TK, Jang HJ et al (2010) Hypervascular liver masses on contrast-enhanced ultrasound: the importance of washout. AJR Am J Roentgenol 194:977–983

    Article  PubMed  Google Scholar 

  • Bookstein JJ, Cho KJ, Becker GB, Dail D (1982) Arterioportal communications: observations and hypotheses concerning transsinusoidal and transvasal types. Radiology 142:581–590

    Article  CAS  PubMed  Google Scholar 

  • Boyce CJ, Pickhardt PJ, Kim DH et al (2010) Hepatic steatosis (fatty liver disease) in asymptomatic adults identified by unenhanced low-dose CT. AJR Am J Roentgenol 194:623–628

    Article  PubMed  Google Scholar 

  • Brancatelli G, Federle MP, Blachar A, Grazioli L (2001) Hemangioma in the cirrhotic liver: diagnosis and natural history. Radiology 219:69–74

    Article  CAS  PubMed  Google Scholar 

  • Brancatelli G, Federle MP, Grazioli L et al (2002a) Benign regenerative nodules in Budd Chiari syndrome and other vascular disorders of the liver: radiologic-pathologic and clinical correlations. Radiographics 22:847–862

    Article  PubMed  Google Scholar 

  • Brancatelli G, Federle MP, Grazioli L et al (2002b) Large regenerative nodules in Budd-Chiari syndrome and other vascular disorders of the liver: CT and MR findings with clinico-pathologic correlation. AJR Am J Roentgenol 178:877–883

    Article  PubMed  Google Scholar 

  • Brancatelli G, Baron RL, Peterson MS, Marsh W (2003) Helical CT screening for hepatocellular carcinoma in patients with cirrhosis: frequency and causes of false-positive interpretation. Am J Roentengnol 180:1007–1014

    Article  Google Scholar 

  • Brancatelli G, Federle MP, Ambrosini R et al (2007) Cirrhosis: CT and MR imaging evaluation. Eur J Radiol 61:57–69

    Article  PubMed  Google Scholar 

  • Brancatelli G, Baron RL, Federle MP et al (2009) Focal confluent fibrosis in cirrhotic liver: natural history studied with serial CT. AJR Am J Roentgenol 192:1341–1347

    Article  PubMed  Google Scholar 

  • Brannigan M, Burns PN, Wilson SR (2004) Blood flow patterns in focal liver lesions at microbubble-enhanced US. Radiographics 24:921–935

    Article  PubMed  Google Scholar 

  • Breen DJ, Rutherford EE, Stedman B et al (2004) Intrahepatic arterioportal shunting and anomalous venous drainage: understanding the CT features in the liver. Eur Radiol 14:2249–2260

    Article  PubMed  Google Scholar 

  • Breitkopf K, Nagy LE, Beier JI et al (2009) Current experimental perspectives on the clinical progression of alcoholic liver disease. Alcohol Clin Exp Res 33:1647–1655

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Brunt EM, Tiniakos DG (2002) Pathology of steatohepatitis. Best Pract Res Clin Gastroenterol 16:691–707

    Article  PubMed  Google Scholar 

  • Cazals-Hatem D, Vilgrain V, Genin P et al (2003) Arterial and portal circulation and parenchymal changes in Budd-Chiari syndrome: a study in 17 explanted livers. Hepatology 37:510–509

    Article  PubMed  Google Scholar 

  • Chen JH, Chai JW, Huang CL et al (1999a) Proximal arterioportal shunting associated with hepatocellular carcinoma: features revealed by dynamic helical CT. Am J Roentgenol 172:403–407

    Article  CAS  Google Scholar 

  • Chen WP, Chen JH, Hwang JI et al (1999b) Spectrum of transient hepatic attenuation differences in biphasic helical CT. Am J Roentgenol 172:419–424

    Article  CAS  Google Scholar 

  • Chen W, DelProposto Z, Wu D et al (2012) Improved Siderotic nodule detection in cirrhosis with susceptibility-weighted magnetic resonance imaging: a prospective study. PLoS One 7:e36454

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Chen Y, Pan Y, Shen KR et al (2017) Contrast-enhanced multiple-phase imaging features of intrahepatic mass-forming cholangiocarcinoma and hepatocellular carcinoma with cirrhosis: a comparative study. Oncol Lett 14:4213–4219

    Article  PubMed  PubMed Central  Google Scholar 

  • Couinaud C (1988) The parabiliary venous system. Surg Radiol Anat 10:311–316

    Article  CAS  PubMed  Google Scholar 

  • D’Amico G, Garcia-Tsao G, Pagliaro L (2006) Natural history and prognostic indicators of survival in cirrhosis: a systematic review of 118 studies. J Hepatol 44:217–231

    Article  PubMed  Google Scholar 

  • De Sousa JM, Portmann B, Williams R (1991) Nodular regenerative hyperplasia of the liver and Budd-Chiari syndrome. Case report, review of the literature and reappraisal of pathogenesis. J Hepatol 12:28–35

    Article  PubMed  Google Scholar 

  • Décarie PO, Lepanto L, Billiard JS et al (2011) Fatty liver deposition and sparing: a pictorial review. Insights Imaging 2:533–538

    Article  PubMed  PubMed Central  Google Scholar 

  • DeLeve LD, Shulman HM, McDonald GB (2002) Toxic injury to hepatic sinusoids: sinusoidal obstruction syndrome (veno-occlusive disease). Semin Liver Dis 22:27–42

    Article  PubMed  Google Scholar 

  • Dioguardi Burgio M, Ronot M, Paulatto L et al (2016) Avoiding pitfalls in the interpretation of gadoxetic acid-enhanced magnetic resonance imaging. Semin Ultrasound CT MR 37:561–572

    Article  PubMed  Google Scholar 

  • Doo KW, Lee CH, Choi JW et al (2009) “Pseudo washout” sign in high-flow hepatic hemangioma on gadoxetic acid contrast-enhanced MRI mimicking hypervascular tumor. AJR Am J Roentgenol 193:W490–W496

    Article  PubMed  Google Scholar 

  • Duran R, Ronot M, Kerbaol A et al (2014) Hepatic hemangiomas: factors associated with T2 shine-through effect on diffusion-weighted MR sequences. Eur J Radiol 83:468–478

    Article  PubMed  Google Scholar 

  • Duran R, Ronot M, Di Renzo S et al (2015) Is magnetic resonance imaging of hepatic hemangioma any different in liver fibrosis and cirrhosis compared to normal liver? Eur J Radiol 84:816–822

    Article  PubMed  Google Scholar 

  • Elsayes KM, Shaaban AM (2015) Specialty imaging: pitfalls and classic signs of the abdomen and pelvis. Elsevier, Philadelphia, PA

    Google Scholar 

  • Francisco FA, de Araújo AL, Oliveira Neto JA, Parente DB (2014) Hepatobiliary contrast agents: differential diagnosis of focal hepatic lesions, pitfalls and other indications. Radiol Bras 47:301–309

    Article  PubMed  PubMed Central  Google Scholar 

  • Galia M, Taibbi A, Marin D et al (2014) Focal lesions in cirrhotic liver: what else beyond hepatocellular carcinoma? Diagn Interv Radiol 20:222–228

    Article  PubMed  PubMed Central  Google Scholar 

  • Goodwin MD, Dobson JE, Sirlin CB et al (2011) Diagnostic challenges and pitfalls in MR imaging with hepatocyte-specific contrast agents. Radiographics 31:1547–1568

    Article  PubMed  Google Scholar 

  • Gryspeerdt S, Van Hoe L, Marchal G, Baert AL (1997) Evaluation of hepatic perfusion disorders with double-phase spiral CT. Radiographics 17:337–348

    Article  CAS  PubMed  Google Scholar 

  • Hamer OW, Aguirre DA, Casola G et al (2006) Fatty liver: imaging patterns and pitfalls. Radiographics 26:1637–1653

    Article  PubMed  Google Scholar 

  • Hanna RF, Aguirre DA, Kased N et al (2008) Cirrhosis-associated hepatocellular nodules: correlation of histopathologic and MR imaging features. Radiographics 28:747–769

    Article  PubMed  Google Scholar 

  • Hellekant CH (1976) Vascular complications following needle puncture of the liver. Acta Radiol 17:209–222

    CAS  Google Scholar 

  • Hussain SM, Semelka RC, Mitchell DG (2002) MR imaging of hepatocellular carcinoma. Magn Reson Imaging Clin N Am 10:31–52

    Article  PubMed  Google Scholar 

  • International Working Party (1995) Terminology of nodular hepatocellular lesions. Hepatology 22:983–993

    Article  Google Scholar 

  • Itai Y, Matsui O (1997) Blood flow and liver imaging. Radiology 202:306–314

    Article  CAS  PubMed  Google Scholar 

  • Itai Y, Matsui O (1999) ‘Nonportal’ splanchnic venous supply to the liver: abnormal findings on CT, US and MRI. Eur Radiol 9:237–243

    Article  CAS  PubMed  Google Scholar 

  • Itai Y, Saida Y (2002) Pitfalls in liver imaging. Eur Radiol 12:1162–1174

    Article  PubMed  Google Scholar 

  • Itai Y, Murata S, Saida Y, Minami M (1994) Central zone and peripheral zone of the liver based on portal and hepatic arterial blood supply; imaging approach to deformity of cirrhotic liver. Jpn J Clin Radiol 39:1553–1559

    Google Scholar 

  • Itai Y, Murata S, Kurosaki Y (1995) Straight border sign of the liver: spectrum of CT appearances and causes. Radiographics 15:1089–1102

    Article  CAS  PubMed  Google Scholar 

  • Ito K, Mitchell DG, Gabata T et al (1999) Hepatocellular carcinoma: association with increased iron deposition in the cirrhotic liver at MR imaging. Radiology 212:235–224

    Article  CAS  PubMed  Google Scholar 

  • Jang HJ, Kim TK, Lim HK et al (2003) Hepatic hemangioma: atypical appearances on CT, MR imaging, and sonography. AJR Am J Roentgenol 180:135–141

    Article  PubMed  Google Scholar 

  • Jang HJ, Yu H, Kim TK (2009a) Contrast-enhanced ultrasound in the detection and characterization of liver tumors. Cancer Imaging 9:96–103

    PubMed  PubMed Central  Google Scholar 

  • Jang HJ, Yu H, Kim TK (2009b) Imaging of focal liver lesions. Semin Roentgenol 44:266–282

    Article  PubMed  Google Scholar 

  • Karhunen PJ (1986) Benign hepatic tumours and tumour like conditions in men. J Clin Pathol 39:183–188

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Kemper J, Jung G, Poll LW et al (2002) CT and MRI findings of multifocal hepatic steatosis mimicking malignancy. Abdom Imaging 27:708–710

    Article  CAS  PubMed  Google Scholar 

  • Khalili K, Lan FP, Hanbidge AE et al (2003) Hepatic subcapsular steatosis in response to intraperitoneal insulin delivery: CT findings and prevalence. AJR Am J Roentgenol 180:1601–1604

    Article  PubMed  Google Scholar 

  • Kim TK, Jang HJ, Wilson SR (2006) Benign liver masses: imaging with microbubble contrast agents. Ultrasound Q 22:31–39

    PubMed  Google Scholar 

  • Kim TK, Lee E, Jang HJ (2015) Imaging findings of mimickers of hepatocellular carcinoma. Clin Mol Hepatol:326–343

    Google Scholar 

  • Kim B, Byun JH, Kim HJ et al (2016) Enhancement patterns and pseudo-washout of hepatic haemangiomas on gadoxetate disodium-enhanced liver MRI. Eur Radiol 26:191–198

    Article  PubMed  Google Scholar 

  • Kobayashi S, Gabata T, Matsui O (2010) Radiologic manifestation of hepatic pseudolesions and pseudotumors in the third inflow area. Imaging Med 2:519–528

    Article  Google Scholar 

  • Kondo F (2001) Benign nodular hepatocellular lesions caused by abnormal hepatic circulation: etiological analysis and introduction of a new concept. J Gastroenterol Hepatol 16:1319–1328

    Article  CAS  PubMed  Google Scholar 

  • Krinsky GA, Lee VS, Nguyen MT et al (2000) Siderotic nodules at MR imaging: regenerative or dysplastic? J Comput Assist Tomogr 24:773–776

    Article  CAS  PubMed  Google Scholar 

  • Krinsky GA, Lee VS, Nguyen MT et al (2001) Siderotic nodules in the cirrhotic liver at MR imaging with explant correlation: no increased frequency of dysplastic nodules and hepatocellular carcinoma. Radiology 218:47–53

    Article  CAS  PubMed  Google Scholar 

  • Krinsky GA, Zivin SB, Thorner KM et al (2002) Low grade siderotic dysplastic nodules: determination of premalignant lesions on the basis of vasculature phenotype. Acad Radiol 9:336–341

    Article  PubMed  Google Scholar 

  • Kroncke TJ, Taupitz M, Kivelitz D et al (2000) Multifocal nodular fatty infiltration of the liver mimicking metastatic disease on CT: imaging findings and diagnosis using MR imaging. Eur Radiol 10:1095–1100

    Article  CAS  PubMed  Google Scholar 

  • Kudo M (2009) Multistep human hepatocarcinogenesis: correlation of imaging with pathology. J Gastroenterol 19:112–118

    Article  Google Scholar 

  • Lee SJ, Lim JH, Lee WJ et al (1997) Transient subsegmental hepatic parenchymal enhancement on dynamic CT: a sign of postbiopsy arterioportal shunt. J Comput Assist Tomogr 21:355–360

    Article  CAS  PubMed  Google Scholar 

  • Makhlouf HR, Ishak KG (2002) Sclerosed hemangiomas and sclerosing cavernous hemangioma of the liver: a comparative clinicopathologic and immunohistochemical study with emphasis on the role of mast cells in their histogenesis. Liver 22:70–78

    Article  PubMed  Google Scholar 

  • Marrero JA, Ahn J, Rajender Reddy K (2014) American College of Gastroenterology. ACG clinical guideline: the diagnosis and management of focal liver lesions. Am J Gastroenterol 109:1328–1347

    Article  PubMed  Google Scholar 

  • Martin J, Puig J, Darnell A, Donoso L (2002) Magnetic resonance of focal liver lesions in hepatic cirrhosis and chronic hepatitis. Semin Ultrasound CT MR 23:62–78

    Article  PubMed  Google Scholar 

  • Mastropasqua M, Kanematsu M, Leonardou P et al (2004) Cavernous hemangiomas in patients with chronic liver disease: MR imaging findings. Magn Reson Imaging 22:15–18

    Article  PubMed  Google Scholar 

  • Mathiesen UL, Franzen LE, Aselius H et al (2002) Increased liver echogenicity at ultrasound examination reflects degree of steatosis but not of fibrosis in asymptomatic patients with mild/moderate abnormalities of liver transaminases. Dig Liver Dis 34:516–522

    Article  CAS  PubMed  Google Scholar 

  • Mathieu D, Paret M, Mahfouz AE et al (1997) Hyperintense benign liver lesions on spin-echo T1-weighted MR images: pathologic correlations. Abdom Imaging 22:410–417

    Article  CAS  PubMed  Google Scholar 

  • Mathieu D, Luciani A, Achab A et al (2001) Hepatic Pseudolesions. Gastroenterol Clin Biol 25:B158–B166

    CAS  PubMed  Google Scholar 

  • Matsui O, Kadoya M, Takahashi S et al (1995) Focal sparing of segment IV in fatty livers shown by sonography and CT: correlation with aberrant gastric venous drainage. AJR Am J Roentgenol 164:1137–1140

    Article  CAS  PubMed  Google Scholar 

  • Mitchell DG, Rubin R, Siegelman ES et al (1991) Hepatocellular carcinoma within siderotic regenerative nodules: appearance as a nodule within a nodule on MR images. Radiology 178:101–103

    Article  CAS  PubMed  Google Scholar 

  • Mittal S, El-Serag HB (2013) Epidemiology of hepatocellular carcinoma: consider the population. J Clin Gastroenterol 47.(suppl:S2–S6

    Article  PubMed  PubMed Central  Google Scholar 

  • Motosugi U, Ichikawa T, Sou H et al (2010) Distinguishing hypervascular pseudolesions of the liver from hypervascular hepatocellular carcinomas with gadoxetic acid-enhanced MR imaging. Radiology 256(1):151–158

    Article  PubMed  Google Scholar 

  • Murata S, Itai Y, Asato M et al (1995) Effect of temporary occlusion of the hepatic vein on dual blood in the liver: evaluation with spiral CT. Radiology 197:351–356

    Article  CAS  PubMed  Google Scholar 

  • Nicolau C, Brú C (2004) Focal liver lesions: evaluation with contrast-enhanced ultrasonography. Abdom Imaging 29:348–359

    Article  CAS  PubMed  Google Scholar 

  • O’Malley ME, Takayama Y, Sherman M (2005) Outcome of small (10-20 mm) arterial phase-enhancing nodules seen on triphasic liver CT inpatients with cirrhosis or chronic liver disease. Am J Gastroenterol 100:1523–1528

    Article  PubMed  Google Scholar 

  • Ohtomo K, Baron RL, Dodd GD 3rd et al (1993a) Confluent hepatic fibrosis in advanced cirrhosis: appearance at CT. Radiology 188:31–35

    Article  CAS  PubMed  Google Scholar 

  • Ohtomo K, Baron RL, Dodd GD 3rd et al (1993b) Confluent hepatic fibrosis in advanced cirrhosis: evaluation with MR imaging. Radiology 189:871–874

    Article  CAS  PubMed  Google Scholar 

  • Okuda K, Musha H, Nakajima Y et al (1978) Frequency of intrahepatic arteriovenous fistula as a sequela to percutaneous needle puncture of the liver. Gastroenterology 74:1204–1207

    Article  CAS  PubMed  Google Scholar 

  • Park YN, Kim M-J (2011) Hepatocarcinogenesis: imaging-pathologic correlation. Abdom Imaging 36:232–243

    Article  PubMed  Google Scholar 

  • Park YS, Lee CH, Kim BH et al (2013) Using Gd-EOB-DTPA-enhanced 3-T MRI for the differentiation of infiltrative hepatocellular carcinoma and focal confluent fibrosis in liver cirrhosis. Magn Reson Imaging 31:1137–1142

    Article  CAS  PubMed  Google Scholar 

  • Prasad SR, Wang H, Rosas H et al (2005) Fat-containing lesions of the liver: radiologic-pathologic correlation. Radiographics 25:321–333

    Article  PubMed  Google Scholar 

  • Renzulli M, Lucidi V, Moscni C et al (2011) Large regenerative nodules in a patient with Budd-Chiari syndrome after TIPS positioning while on the liver transplantation list diagnosed by Gd-EOB-DTPA MRI. Hepatobiliary Pancreat Dis Int 10:439–442

    Article  PubMed  Google Scholar 

  • Ronot M, Dioguardi Burgio M, Purcell Y et al (2017) Focal lesions in cirrhosis: not always HCC. Eur J Radiol 93:157–168

    Article  PubMed  Google Scholar 

  • Sadek AG, Mitchell DG, Siegelman ES et al (1995) Early hepatocellular carcinoma that develops within macroregenerative nodules: growth rate depicted at serial MR imaging. Radiology 195:753–756

    Article  CAS  PubMed  Google Scholar 

  • Scheuer PJ, Lefkowitch JH (2000) Fatty liver and lesions in the alcoholic. In: Liver biopsy interpretation, 6th edn. Saunders, Philadelphia, PA, pp 111–129

    Google Scholar 

  • Shimizu A, Ito K, Koike S et al (2003) Cirrhosis or chronic hepatitis: evaluation of small (<or=2-cm) early-enhancing hepatic lesions with serial contrast-enhanced dynamic MR imaging. Radiology 226:550–555

    Article  PubMed  Google Scholar 

  • Siegelman ES, Chauhan A (2014) MR characterization of focal liver lesions. Magn Reson Imaging Clin N Am 22:295–313

    Article  PubMed  Google Scholar 

  • Siegelman ES, Mitchell DG, Semelka RC (1996) Abdominal iron deposition: metabolism, MR findings, and clinical importance. Radiology 199:13–22

    Article  CAS  PubMed  Google Scholar 

  • Sohn J, Siegelman E, Osiason A (2001) Unusual patterns of hepatic steatosis caused by the local effect of insulin revealed on chemical shift MR imaging. AJR Am J Roentgenol 176:471–474

    Article  CAS  PubMed  Google Scholar 

  • Steiner PE (1959) Nodular regenerative hyperplasia of the liver. Am J Pathol 35:943–953

    CAS  PubMed  PubMed Central  Google Scholar 

  • Stromeyer FW, Ishak KG (1981) Nodular transformation (nodular "regenerative" hyperplasia) of the liver. A clinicopathologic study of 30 cases. Hum Pathol 12:60–71

    Article  CAS  PubMed  Google Scholar 

  • Sun HY, Lee JM, Shin CI et al (2010) Gadoxetic acid-enhanced magnetic resonance imaging for differentiating small hepatocellular carcinomas (< or =2 cm in diameter) from arterial enhancing pseudolesions: special emphasis on hepatobiliary phase imaging. Investig Radiol 45(2):96–103

    Article  CAS  Google Scholar 

  • Takayasu K, Muramatsu Y, Moriyama N et al (1994) Radiological study of idiopathic Budd-Chiari syndrome complicated by hepatocellular carcinoma. A report of four cases. Am J Gastroenterol 89:249–253

    CAS  PubMed  Google Scholar 

  • Tamada T, Ito K, Yamamoto A et al (2011) Hepatic hemangiomas: evaluation of enhancement patterns at dynamic MRI with gadoxetate disodium. AJR Am J Roentgenol 196:824–830

    Article  PubMed  Google Scholar 

  • Tanaka M, Wanless IR (1998) Pathology of the liver in Budd-Chiari syndrome: portal vein thrombosis and the histogenesis of veno-centric cirrhosis, veno-portal cirrhosis, and large regenerative nodules. Hepatology 27:488–496

    Article  CAS  PubMed  Google Scholar 

  • Terada T, Nakanuma Y (1989) Survey of iron-accumulative macroregenerative nodules in cirrhotic livers. Hepatology 10:851–854

    Article  CAS  PubMed  Google Scholar 

  • Terada T, Kadoya M, Nakanuma Y, Matsui O (1990) Iron-accumulating adenomatous hyperplastic nodule with malignant foci in the cirrhotic liver histopathologic, quantitative iron, and magnetic resonance imaging in vitro studies. Cancer 65:1994–2000

    Article  CAS  PubMed  Google Scholar 

  • Vilgrain V, Lewin M, Vons C et al (1999) Hepatic nodules in Budd-Chiari syndrome: imaging features. Radiology 210:443–450

    Article  CAS  PubMed  Google Scholar 

  • Vilgrain V, Lagadec M, Ronot M (2016) Pitfalls in liver imaging. Radiology 278:34–51

    Article  PubMed  Google Scholar 

  • Wachsberg RH, Bahramipour P, Sofocleous CT, Barone A (2002) Hepatofugal flow in the portal venous system: pathophysiology, imaging findings, and diagnostic pitfalls. Radiographics 22:123–140

    Article  PubMed  Google Scholar 

  • Wanless IR (1990) Micronodular transformation (nodular regenerative hyperplasia) of the liver: a report of 64 cases among 2,500 autopsies and a new classification of benign hepatocellular nodules. Hepatology 11:787–797

    Article  CAS  PubMed  Google Scholar 

  • Wanless IR, Mawdsley C, Adams R (1985) On the pathogenesis of focal nodular hyperplasia of the liver. Hepatology 5:1194–1200

    Article  CAS  PubMed  Google Scholar 

  • Wilson SR, Jang HJ, Kim TK et al (2008) Real-time temporal maximum-intensity-projection imaging of hepatic lesions with contrast-enhanced sonography. AJR Am J Roentgenol 190:691–695

    Article  PubMed  Google Scholar 

  • Yoshimitsu K, Honda H, Kuroiwa T et al (1999) Pseudolesions of the liver possibly caused by focal rib compression: analysis based on hemodynamic change. AJR Am J Roentgenol 172:645–649

    Article  CAS  PubMed  Google Scholar 

  • Yoshimitzu K, Honda H, Kuroiwa T et al (2001) Unusual hemodynamics and pseudolesions of the noncirrhotic liver at CT. Radiographics 21:S81–S96

    Article  Google Scholar 

  • Yu JS, Kim KW, Sung KB et al (1997) Small arterial-portal venous shunts: a cause of pseudolesions at hepatic imaging. Radiology 203:737–742

    Article  CAS  PubMed  Google Scholar 

  • Yu JS, Kim KW, Yeong MG et al (2000) Non tumorous hepatic arterial-portal venous shunts: MR imaging findings. Radiology 217:750–756

    Article  CAS  PubMed  Google Scholar 

  • Zhang J, Krinsky GA (2004) Iron-containing nodules of cirrhosis. NMR Biomed 17:459–464

    Article  PubMed  Google Scholar 

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Golfieri, R., Brocchi, S., Milandri, M., Renzulli, M. (2021). Pseudolesions in the Cirrhotic Liver. In: Quaia, E. (eds) Imaging of the Liver and Intra-hepatic Biliary Tract. Medical Radiology(). Springer, Cham. https://doi.org/10.1007/978-3-030-39021-1_11

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