There is no evidence of liver parenchymal disease.
2 focal liver lesions are identified:
- In segment 5/6, there is a 2.9 centimetre rounded lesion which is minimally T2 hyperintense and has a relatively T2 hyperintense central component, which is T1 hypointense. It does not contain fat. It does not restrict diffusion. There is vivid arterial enhancement without washout. The central component does not enhance. The lesion however concentrates Primovist.
- In segment 3, there is a 2.1 centimetre rounded lesion which is minimally T2 hyperintense. It does not contain fat. It does not restrict diffusion. There is vivid arterial enhancement without washout. A central component does not enhance. The lesion however concentrates Primovist at the periphery.
There is a tiny focus seen in the subcapsular region of segment IVa anteriorly, only visible on the arterial phase, with unknown aetiology and significance.
The biliary tree is non-dilated. The pancreas, kidneys, adrenal glands, spleen are normal in appearance. No free fluid or lymphadenopathy.
Conclusion: Two focal liver lesions with MR appearances consistent with focal nodular hyperplasia.