Presentation
Patient is asymptomatic, found to have liver mass on routine health check USG scan.
Patient Data
Large exophytic, arterial hypervascular mass arising from segment IVB of liver which is getting isodense with liver in porto-venous and delayed phase. No obvious central scar / central artery or capsule is seen. Similar smaller lesions also seen in segment VI and segment IVA of liver.
Case Discussion
Due to the absence of any typical feature and multiplicity of lesions, the possibility of metastasis needed to be ruled out. Hence, the larger lesion was resected and histopathology revealed it to be focal nodular hyperplasia.
Due to the absence of a central scar or central artery, this would be categorized as atypical focal nodular hyperplasia.