EURORAD ESR

Case 10319

Primary hepatic follicular lymphoma

Author(s)
Oliveira C1, Condesso D1, Barbosa L1, Catarino R1, Estevão A1, Caseiro-Alves, F1

1- Imaging Department, University Hospital and Faculty of Medicine, Coimbra/PT; Email:kat.catarina@gmail.com
 
Patient
female, 67 year(s)
 
 
  • Figure 1
    Abdominal US

    Abdominal ultrasound showing an hypoechoic nodular image in the left hepatic lobe.

     
    Area of Interest: Liver; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 2
    Abdominal CT
     

    Plain(a) and contrast enhanced abdominal CT in the arterial(b), portal(c) and late(d) phase. The lesion is only clearly identified in the portal phase(c) as a nodular hypoattenuated lesion.

     
    Area of Interest: Liver; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Plain(a) and contrast enhanced abdominal CT in the arterial(b), portal(c) and late(d) phase. The lesion is only clearly identified in the portal phase(c) as a nodular hypoattenuated lesion.

     
    Area of Interest: Liver; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Plain(a) and contrast enhanced abdominal CT in the arterial(b), portal(c) and late(d) phase. The lesion is only clearly identified in the portal phase(c) as a nodular hypoattenuated lesion.

     
    Area of Interest: Liver; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Plain(a) and contrast enhanced abdominal CT in the arterial(b), portal(c) and late(d) phase. The lesion is only clearly identified in the portal phase(c) as a nodular hypoattenuated lesion.

     
    Area of Interest: Liver; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 3
    Abdominal MRI
     

    Abdominal MRI - T1-weigthed sequence (TE:4,6ms/TR:174ms). The nodular lesion in the left lobe has low SI.

     
    Area of Interest: Liver; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Abdominal MRI - fat saturation T2-weigthed sequence (TE:70ms/TR:1600ms). The nodular lesion in the left lobe has high SI, but there are another two smaller lesions in the right hepatic lobe.

     
    Area of Interest: Liver; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 4
    Abdominal MRI

    Abdominal MRI - Fat saturation T1-weigthed sequence GRE (TE:1,8ms/TR:3,78ms) after hepatic specific contrast injection in the hepatobiliary phase. Only the biggest lesion is clearly seen and has a low SI.

     
    Area of Interest: Liver; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 5
    Abdominal MRI

    Abdominal MRI - diffusion-weighted sequence (TR:1000ms/TE:98ms) (b:800).The nodular hepatic lesions have a high SI, but several other smaller lesions were found in both lobes.

     
    Area of Interest: Liver; Imaging Technique: MR-Diffusion/Perfusion; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
Abdominal ultrasound showing an hypoechoic nodular image in the left hepatic lobe.
 
Plain(a) and contrast enhanced abdominal CT in the arterial(b), portal(c) and late(d) phase. The lesion is only clearly identified in the portal phase(c) as a nodular hypoattenuated lesion.
 
Plain(a) and contrast enhanced abdominal CT in the arterial(b), portal(c) and late(d) phase. The lesion is only clearly identified in the portal phase(c) as a nodular hypoattenuated lesion.
 
Plain(a) and contrast enhanced abdominal CT in the arterial(b), portal(c) and late(d) phase. The lesion is only clearly identified in the portal phase(c) as a nodular hypoattenuated lesion.
 
Plain(a) and contrast enhanced abdominal CT in the arterial(b), portal(c) and late(d) phase. The lesion is only clearly identified in the portal phase(c) as a nodular hypoattenuated lesion.
 
Abdominal MRI - T1-weigthed sequence (TE:4,6ms/TR:174ms). The nodular lesion in the left lobe has low SI.
 
Abdominal MRI - fat saturation T2-weigthed sequence (TE:70ms/TR:1600ms). The nodular lesion in the left lobe has high SI, but there are another two smaller lesions in the right hepatic lobe.
 
Abdominal MRI - Fat saturation T1-weigthed sequence GRE (TE:1,8ms/TR:3,78ms) after hepatic specific contrast injection in the hepatobiliary phase. Only the biggest lesion is clearly seen and has a low SI.
 
Abdominal MRI - diffusion-weighted sequence (TR:1000ms/TE:98ms) (b:800).The nodular hepatic lesions have a high SI, but several other smaller lesions were found in both lobes.
 
 
 
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