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Uncommon imaging evolutions of focal liver lesions in cirrhosis

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Abstract

Objective

The purpose of this article is to describe and illustrate uncommon imaging evolutions of benign (i.e., cyst, hemangioma, focal nodular hyperplasia-like nodules, and hepatic angiomyolipoma) and malignant (i.e., HCC and non HCC malignancies) lesions in a cirrhotic liver. The content highlights relevant pathogenesis and imaging clues for proper differential diagnosis. Revision of prior imaging and knowledge of these scenarios may help the abdominal radiologist to reach a noninvasive diagnosis and direct the patient to the most appropriate clinical management.

Conclusion

Uncommon imaging evolutions of focal liver lesions in cirrhosis may represent a challenge for the abdominal radiologist, with atypical changes in size, and internal vascularization changes that may lead to misdiagnoses.

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Authors and Affiliations

  1. Dipartimento Promozione della Salute, Materno-Infantile, Medicina Interna e Specialistica di Eccellenza “G.D’Alessandro” (PROMISE), University of Palermo, Piazza delle Cliniche n.2, 90127, Palermo, Italy

    Federica Vernuccio

  2. University Paris Diderot, Sorbonne Paris Cité, Paris, France

    Federica Vernuccio

  3. I.R.C.C.S. Centro Neurolesi Bonino Pulejo, Contrada Casazza, SS113, 98124, Messina, Italy

    Federica Vernuccio

  4. Dipartimento di Biomedicina, Neuroscienze e Diagnostica avanzata (BIND), University Hospital of Palermo, Via del Vespro 129, 90127, Palermo, Italy

    Roberto Cannella, Giorgia Porrello, Alberto Calandra, Massimo Midiri & Giuseppe Brancatelli

  5. Department of Radiology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA

    Alessandro Furlan

Authors
  1. Federica Vernuccio
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  2. Roberto Cannella
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  7. Giuseppe Brancatelli
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Corresponding author

Correspondence to Federica Vernuccio.

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Disclosures

Federica Vernuccio, Roberto Cannella, Giorgia Porrello, Alberto Calandra, Massimo Midiri, Alessandro Furlan, and Giuseppe Brancatelli have no conflicts of interest to disclose for this study. Alessandro Furlan: Research Grant with General Electric; Elsevier/Amirsys author.

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Vernuccio, F., Cannella, R., Porrello, G. et al. Uncommon imaging evolutions of focal liver lesions in cirrhosis. Abdom Radiol 44, 3069–3077 (2019). https://doi.org/10.1007/s00261-019-02101-4

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  • DOI: https://doi.org/10.1007/s00261-019-02101-4

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