Hepatic adenoma - atoll sign

Discussion:

The "atoll sign" - a rim of T2 hyperintensity around a liver mass that otherwise shows characteristics compatible with a hepatic adenoma - is associated with the inflammatory adenoma subtype.

After confident diagnosis that this was a hepatic adenoma as opposed to a malignancy it was effectively bland embolized due to its size and the risk of hemorrhage. It has shown no recurrence over the course of many years.

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