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- Focal nodular hyperplasia Focal nodular hyperplasia are well defined lesions with intense homogeneous enhancement on the arterial phase images, that disappears on the portal venous phase. If a central scar is present it demonstrates delayed enhancement. The physicians intense enhancement on the arterial phase may be difficult to distinguish from hypervascular metastasis, especially if enhancement physicians is heterogeneous (Figure 17). - Hepatic adenoma Hepatocellular adenoma is a rare benign lesion, physicians most often seen in young women, with a history of oral contraceptive use. Uncomplicated adenomas are typically solitary, sharply marginated and may contain fat. Small lesions enhance rapidly and are hyperattenuating relative to the liver. Adenomas may be mistaken for malignant lesions (Figure 18) especially if they are large, multiple or hemorrhagic.
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