Hepatic focal lesion algorithm

Pattern of enhancement

Gastrointestinal
imaging
Presented by :
Dr.Ahmed Abdelkarim, MD
 Hepatic focal lesion algorithm
Pattern of enhancement

Delayed contrast Arterial enhancement Arterial enhancement with No contrast

enhancement without delayed washout delayed washout enhancement

Hemangioma FNH Fibrolamellar HCC

Peripheral nodular Noncirrhotic/nonviable
Viable central scar
enhancement central scar Cyst
Hydatid
Simple
Cholangiocarcinoma Abscess
Capsular retraction/biliary Mets
dilatation
Adenoma HCC
Hemorrhage/fat Cirrhotic Solid
Regeneration nodule
Cirrhotic liver
Mets
Dysplastic nodule
Multiple/primary Cirrhotic liver