- •Foreword I
- •Foreword II
- •Preface
- •Contents
- •1 Abscesses – Pyogenic Type
- •3 Cyst I – Typical Small
- •4 Cyst II – Typical Large with MR-CT Correlation
- •5 Cyst III – Multiple Small Lesions with MR-CT-US Comparison
- •6 Cyst IV – Adult Polycystic Liver Disease
- •7 Cystadenoma / Cystadenocarcinoma
- •8 Hemangioma I – Typical Small
- •10 Hemangioma III – Typical Giant
- •11 Hemangioma IV – Giant Type with a Large Central Scar
- •13 Hemangioma VI – Multiple with Perilesional Enhancement
- •14 Hemorrhage
- •16 Mucinous Metastasis – Mimicking an Hemangioma
- •17 Colorectal Metastases I – Typical Lesion
- •18 Colorectal Metastases II – Typical Multiple Lesions
- •19 Colorectal Metastases III – Metastasis Versus Cyst
- •20 Colorectal Metastases IV – Metastasis Versus Hemangiomas
- •21 Liver Metastases V – Large, Mucinous, Mimicking a Primary Liver Lesion
- •24 Breast Carcinoma Liver Metastases
- •25 Kahler’s Disease (Multiple Myeloma) Liver Metastases
- •26 Melanoma Liver Metastases I – Focal Type
- •27 Melanoma Liver Metastases II – Diffuse Type
- •28 Neuroendocrine Tumor I – Typical Liver Metastases
- •29 Neuroendocrine Tumor II – Pancreas Tumor Metastases
- •30 Neuroendocrine Tumor III – Gastrinoma Liver Metastases
- •31 Neuroendocrine Tumor IV – Carcinoid Tumor Liver Metastases
- •32 Neuroendocrine Tumor V – Peritoneal Spread
- •34 Renal Cell Carcinoma Liver Metastasis
- •35 Cirrhosis I – Liver Morphology
- •36 Cirrhosis II – Regenerative Nodules and Confluent Fibrosis
- •37 Cirrhosis III – Dysplastic Nodules
- •38 Cirrhosis IV – Dysplastic Nodules – HCC Transition
- •39 Cirrhosis V – Cyst in a Cirrhotic Liver
- •40 Cirrhosis VI – Multiple Cysts in a Cirrhotic Liver
- •41 Cirrhosis VII – Hemangioma in a Cirrhotic Liver
- •42 HCC in Cirrhosis I – Typical Small with Pathologic Correlation
- •43 HCC in Cirrhosis II – Small With and Without a Tumor Capsule
- •44 HCC in Cirrhosis III – Nodule-in-Nodule Appearance
- •45 HCC in Cirrhosis IV – Mosaic Pattern with Pathologic Correlation
- •47 HCC in Cirrhosis VI – Mosaic Pattern with Fatty Infiltration
- •48 HCC in Cirrhosis VII – Large Growing Lesion with Portal Invasion
- •49 HCC in Cirrhosis VIII – Segmental Diffuse with Portal Vein Thrombosis
- •50 HCC in Cirrhosis IX – Multiple Lesions Growing on Follow-up
- •51 HCC in Cirrhosis X – Capsular Retraction and Suspected Diaphragm Invasion
- •52 HCC in Cirrhosis XI – Diffuse Within the Entire Liver with Portal Vein Thrombosis
- •53 HCC in Cirrhosis XII – With Intrahepatic Bile Duct Dilatation
- •54 Focal Nodular Hyperplasia I – Typical with Large Central Scar and Septa
- •55 Focal Nodular Hyperplasia II – Typical with Pathologic Correlation
- •57 Focal Nodular Hyperplasia IV – Multiple FNH Syndrome
- •58 Focal Nodular Hyperplasia V – Fatty FNH with Concurrent Fatty Adenoma
- •59 Focal Nodular Hyperplasia VI – Atypical with T2 Dark Central Scar
- •60 Hepatic Angiomyolipoma – MR-CT Comparison
- •61 Hepatic Lipoma – MR-CT-US Comparison
- •62 Hepatocellular Adenoma I – Typical with Pathologic Correlation
- •63 Hepatocellular Adenoma II – Large Exophytic with Pathologic Correlation
- •64 Hepatocellular Adenoma III – Typical Fat-Containing
- •65 Hepatocellular Adenoma IV – With Large Hemorrhage
- •77 Intrahepatic Cholangiocarcinoma – With Pathologic Correlation
- •78 Telangiectatic Hepatocellular Lesion
- •79 Focal Fatty Infiltration Mimicking Metastases
- •80 Focal Fatty Sparing Mimicking Liver Lesions
- •81 Hemosiderosis – Iron Deposition, Acquired Type
- •82 Hemochromatosis – Severe Type
- •83 Hemochromatosis with Solitary HCC
- •84 Hemochromatosis with Multiple HCC
- •85 Thalassemia with Iron Deposition
- •86 Arterioportal Shunt I – Early Enhancing Lesion in a Cirrhotic Liver
- •89 Budd-Chiari Syndrome II – Gradual Deformation of the Liver
- •90 Budd-Chiari Syndrome III – Nodules Mimicking Malignancy
- •92 Caroli’s Disease I – Intrahepatic with Segmental Changes
- •93 Caroli’s Disease II – Involvement of the Liver and Kidneys
- •95 Choledocholithiasis (Bile Duct Stones)
- •96 Gallbladder Carcinoma I – Versus Gallbladder Wall Edema
- •97 Gallbladder Carcinoma II – Hepatoid Type of Adenocarcinoma
- •98 Hilar Cholangiocarcinoma I – Typical
- •99 Hilar Cholangiocarcinoma II – Intrahepatic Mass
- •100 Hilar Cholangiocarcinoma III – Partially Extrahepatic Tumor
- •101 Hilar Cholangiocarcinoma IV – Metal Stent with Interval Growth
- •102 Hilar Cholangiocarcinoma V – Biliary Dilatation Mimicking Klatskin Tumor at CT
- •103 Primary Sclerosing Cholangitis I – Cholangitis and Segmental Atrophy
- •104 Primary Sclerosing Cholangitis II – With Intrahepatic Cholestasis
- •105 Primary Sclerosing Cholangitis III – With Intrahepatic Stones
- •106 Primary Sclerosing Cholangitis IV – With Biliary Cirrhosis
- •107 Primary Sclerosing Cholangitis V – With Intrahepatic Cholangiocarcinoma
- •108 Primary Sclerosing Cholangitis VI – With Hilar Cholangiocarcinoma
- •109 T2 Bright Liver Lesions
- •110 T1 Bright Liver Lesions
- •111 T2 Bright Central Scar
- •112 Lesions in Fatty Liver
- •113 Appendix I: MR Imaging Technique and Protocol
- •114 Appendix II: Liver Segmental and Vascular Anatomy
- •Subject Index
249
Subject Index
Abscess 2 |
– cirrhotic liver containing cysts 84 – 87 |
Hemorrhage 30 – 33 |
|
|||||
Adenoma see hepatocellular adenoma |
– typical large |
8 |
|
|
– within liver parenchyma 30 |
|||
Anatomy see liver segmental and vascular anatomy |
– typical multiple |
10 |
|
– within a liver tumor |
32 |
|||
Angiomyolipma see hepatic angiomyolipoma |
– typical small |
6 |
|
|
Hepatic angiomyolipma |
128 |
||
Arterio-portal shunt 184 – 187 |
Cystadenoma and cystadenocarcinoma 14 |
Hepatic lipoma 130 |
|
|||||
– early enhancing lesion in a cirrhotic liver 184 |
|
|
|
|
|
Hepatocellular adenoma (HCA) 132 – 143 |
||
– early enhancing lesion in a non-cirrhotic liver |
Differential diagnosis 234 – 241 |
– |
large exophytic with pathologic correlation 134 |
|||||
186 |
– |
bright central scar on T2 |
234 |
– |
multiple in fatty liver (non-oral contraceptive |
|||
|
– bright liver lesions on T1 |
236 |
|
(OC) dependent) 140 |
||||
Bile duct stones see choledocholithiasis |
– |
bright liver lesions on T2 |
238 |
– |
multiple in fatty liver (OC dependent) 142 |
|||
Biliary cirrhosis 226 |
– |
fatty liver lesions |
240 |
|
– |
typical fat-containing |
136 |
– |
with primary sclerosing cholangitis 226 |
Dysplastic nodule see cirrhosis |
– |
typical with pathologic correlation 132 |
|
Biliary dilatation |
198 – 201, 204, 210 – 231 |
|
– |
with large hemorrhage 138 |
|
– |
Caroli’s disease |
198 – 201 |
Early enhancing lesions see arterio-portal shunts |
Hepatocellular carcinoma (HCC), in a cirrhotic |
– choledocholithiasis |
204 |
|
|
|
|
Echinococcal abscess see abscess |
|
|
|
|
|
liver |
90 – 112 |
|
|
|
|
|
|
|
||||||||||
– hilar cholangiocharcinoma (Klatskin) |
210 – 219 |
|
|
|
|
|
|
|
|
|
|
– fatty HCC 100 |
|
|
|
|
|
|
||||||||||||
– |
primary sclerosing cholangitis |
220 – 231 |
|
Fatty infiltration |
100, 124, 136, 240 |
|
|
|
– |
growing lesions with portal invasion |
102 |
|
||||||||||||||||||
Biliary hamartomas (Von Meyenberg complexes) 4 |
– fatty liver with lesions, differential |
|
240 |
|
– hyperintense nodule on T1 |
98 |
|
|
|
|||||||||||||||||||||
Budd-Chiari syndrome |
188 – 193 |
|
|
|
– liver lesions containing fat |
124, 136, 100 |
|
– mosaic pattern with pathologic correlation |
96 |
|||||||||||||||||||||
– |
typical with collaterals and central hypertro- |
– |
see also focal fatty infiltration and sparing |
|
– |
multifocal and diffuse with portal invasion |
|
|||||||||||||||||||||||
|
phy |
188 |
|
|
|
|
|
|
|
Fatty liver lesions, differential |
136 |
|
|
|
|
|
104 – 110 |
|
|
|
|
|
|
|
||||||
– with gradual deformation the liver 190 |
|
Fatty sparing see focal fatty sparing |
|
|
|
|
– nodule-in-nodule appearance |
94 |
|
|
||||||||||||||||||||
– with multiple nodules mimicking malignancy |
FNH see focal nodular hyperplasia |
|
|
|
|
– segmental diffuse with portal invasion 104 |
||||||||||||||||||||||||
|
192 |
|
|
|
|
|
|
|
|
|
Focal fatty infiltration (focal steatosis) mimicking |
– |
typical large |
98 |
|
|
|
|
|
|||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
lesions 168 |
|
|
|
|
|
|
|
– |
typical large lesion with fatty infiltration |
100 |
||||||||
Carcinoid liver metastases see metastases, |
|
Focal fatty sparing (focal non-steatosis) |
170, 240 |
– |
typical multiple |
106 |
|
|
|
|
|
|||||||||||||||||||
|
non-colorectal, carcinoid |
|
|
|
|
– differential |
240 |
|
|
|
|
|
|
|
– |
typical small |
90 – 92 |
|
|
|
|
|
||||||||
Caroli’s disease |
198 – 201 |
|
|
|
|
– mimicking focal liver lesions 170 |
|
|
|
– umbilication and suspected diaphragm inva- |
||||||||||||||||||||
– intra-hepatic with segmental changes |
198 |
Focal nodular hyperplasia (FNH) |
116 – 127 |
|
|
sion |
108 |
|
|
|
|
|
|
|
||||||||||||||||
– involvement of the liver and kidneys |
200 |
– |
atypical with T2 dark central scar |
126 |
|
– |
with biliary obstruction 112 |
|
|
|
||||||||||||||||||||
Cavernous hemangioma see hemangioma |
|
– fatty FNH with concurrent adenoma |
124 |
|
– with fibrous tumor capsule |
98 |
|
|
|
|||||||||||||||||||||
Changed liver anatomy or morphology |
|
|
– multiple FNH syndrome 122 |
|
|
|
|
– with intravascular tumor thrombus |
104 – 110 |
|||||||||||||||||||||
– |
biliary cirrhosis |
226 |
|
|
|
|
– |
typical lesion with large central scar and septa |
Hepatocellular carcinoma (HCC), in a non-cirrhotic |
|||||||||||||||||||||
– Budd-Chiari syndrome |
190 |
|
|
|
|
116 |
|
|
|
|
|
|
|
|
|
liver |
144 – 161 |
|
|
|
|
|
|
|||||||
– |
Caroli’s disease |
198 |
|
|
|
|
– |
typical lesion with pathologic correlation |
118 |
– |
cholangiocellular type |
150 |
|
|
|
|
||||||||||||||
– cirrhosis |
76 |
|
|
|
|
|
|
– typical with follow-up exam |
120 |
|
|
|
– combined HCC-cholangiocarcinoma |
150 |
|
|||||||||||||||
Cholangiocarcinoma |
77, 210 – 219, 228 |
|
Focal non-steatosis see focal fatty infiltration |
|
– massive lesion |
|
156 |
|
|
|
|
|
||||||||||||||||||
– focal biliary dilatation mimicking hilar type |
Focal steatosis see focal fatty infiltration |
|
– |
medium-sized, with MR-pathology correlation |
||||||||||||||||||||||||||
|
(Klatskin) at CT |
218 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
144 |
|
|
|
|
|
|
|
|
||||
– hilar type (Klatskin), mainly intra-hepatic |
Gallbladder carcinoma |
206 – 209 |
|
|
|
|
– |
typical large lesion with inconclusive CT |
148 |
|||||||||||||||||||||
|
lesion 212 |
|
|
|
|
|
|
|
– |
differential with gall bladder wall edema 206 |
– |
typical large with MR-pathology correlation |
||||||||||||||||||
– hilar type (Klatskin), metal stent in place with |
– hepatoid type of adenocarcinoma |
208 |
|
|
146 |
|
|
|
|
|
|
|
|
|||||||||||||||||
|
interval growth |
216 |
|
|
|
|
– umbilication |
209 |
|
|
|
|
|
|
– with adenoma-like appearance |
160 |
|
|
||||||||||||
– |
hilar type (Klatskin), partially extra-hepatic |
Gallstones see cholelithiasis |
|
|
|
|
|
– |
with capsule |
152 – 155 |
|
|
|
|
||||||||||||||||
|
214 |
|
|
|
|
|
|
|
|
|
Gamna-Gandy bodies in the spleen |
79, 81 |
|
– with capsule rupture |
152 |
|
|
|
|
|||||||||||
– |
hilar type (Klatskin), typical 210 |
|
|
Gastrinoma liver metastases see metastases, |
|
– |
with central scar |
152 |
|
|
|
|
|
|||||||||||||||||
– |
hilar type (Klatskin) with primary sclerosing |
|
non-colorectal, gastrinoma |
|
|
|
|
|
– |
with satellite nodules |
152, 158 |
|
|
|
||||||||||||||||
|
cholangitis (PSC) |
228 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
– with vascular invasion |
158 |
|
|
|
|
||||||||
– intra-hepatic (central) type with pathology |
Hamartomas see biliary hamartomas |
|
|
|
Hepatoid type adenocarcinoma see gallbladder |
|||||||||||||||||||||||||
|
correlation |
77 |
|
|
|
|
|
|
HCA see hepatocelleular adenoma |
|
|
|
|
|
carcinoma |
|
|
|
|
|
|
|
||||||||
Choledocholithiasis (bile duct stones) |
204 |
|
HCC see hepatocelleular carcinoma |
|
|
|
|
Hereditary hemochromatosis see hemochromatosis |
||||||||||||||||||||||
Cholelithiasis (gallstones) |
202 |
|
|
|
Hemangioma |
16 – 26, 88 |
|
|
|
|
|
Hereditary hemorrhagic teleangiectasia (Rendu- |
||||||||||||||||||
Cholestasis |
194, 223 |
|
|
|
|
|
– cirrhotic liver with an hemangioma |
|
88 |
|
|
Osler-Weber disease) |
194 |
|
|
|
|
|||||||||||||
– |
hereditary hemorrhagic teleangiectasia |
194 |
– |
flash-filling |
24 |
|
|
|
|
|
|
|
Hilar cholangiocarcinoma see chaolangiocarcinom |
|||||||||||||||||
– primary sclerosing cholangitis |
223 |
|
|
– mucinous metastasis, mimicking hemangioma |
|
|
|
|
|
|
|
|
|
|
||||||||||||||||
Cirrhosis |
76 – 89 |
|
|
|
|
|
|
|
32 |
|
|
|
|
|
|
|
|
Iron deposition see hemochromatosis and hemo- |
||||||||||||
– |
confluent fibrosis |
78 |
|
|
|
|
– |
peri-lesional enhancement |
24, 26 |
|
|
|
|
siderosis |
|
|
|
|
|
|
|
|||||||||
– cyst(s) |
84 – 87 |
|
|
|
|
|
|
– rapidly enhancing |
24 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||
– |
dysplastic nodule |
80 |
|
|
|
|
– |
typical giant |
20 – 23 |
|
|
|
|
|
Kahler’s disease liver metastasis see metastasis, |
|||||||||||||||
– dysplastic nodule-HCC sequence |
82 |
|
|
– typical medium-sized 18 |
|
|
|
|
|
|
non-colorectal |
|
|
|
|
|
|
|
||||||||||||
– hemangioma |
88 |
|
|
|
|
|
– typical multiple |
26 |
|
|
|
|
|
|
Klatskin tumor see cholangiocarcinoma |
|
|
|||||||||||||
– hepatocellular carcinoma (HCC) |
90 – 113 |
– typical small |
16 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||||||
– morphology of the liver |
76 |
|
|
|
Hemochromatosis (parenchymal iron deposition) |
Lipoma see hepatic lipoma |
|
|
|
|
||||||||||||||||||||
– regenerative nodules |
78 |
|
|
|
|
|
174 – 179 |
|
|
|
|
|
|
|
|
Liver anatomy see liver segmental and vascular |
||||||||||||||
Confluent fibrosis see cirrhosis |
|
|
|
– hemorrhagic HCC |
179 |
|
|
|
|
|
|
anatomy |
|
|
|
|
|
|
|
|||||||||||
Couinaud’s liver segments see liver segmental and |
– severe type |
174 |
|
|
|
|
|
|
Liver segmental and vascular anatomy |
246 |
|
|||||||||||||||||||
|
vascular anatomy |
|
|
|
|
|
|
– with multiple HCC |
178 |
|
|
|
|
|
Liver segments see liver segmental and vascular |
|||||||||||||||
Cyst |
6 – 13 |
|
|
|
|
|
|
|
– with solitary HCC |
176 |
|
|
|
|
|
|
anatomy |
|
|
|
|
|
|
|
||||||
– |
adult polycystic liver and kidney disease |
12 |
Hemosiderosis (transfusional iron deposition) |
172 |
Liver vessels see liver segmental and vascular anatomy |
250 |
Subject Index |
|
|
|
|
|
|
|
|
|
|
|||
|
|
|
||||||||||||
Melanoma metastases see metastasis, non-colorectal |
Multiple myeloma liver metastasis see metastasis, |
Segmental liver anatomy see liver segmental and |
||||||||||||
Metastasis, colorectal |
32, 36 – 49 |
|
|
non-colorectal |
|
vascular anatomy |
|
|||||||
– mimicking a primary liver tumor |
44 |
|
|
|
Steatosis see focal fatty infiltration |
|
||||||||
– mucinous, mimicking hemangioma |
32 |
|
Ovarian metastases see metastasis, non-colorectal |
Stepwise carcinogenesis of HCC see cirrhosis |
||||||||||
– recurrent versus RFA defect 48 |
|
|
|
|
Stone disease see cholelithiasis and choledocholi- |
|||||||||
– |
typical multiple |
38 |
|
|
|
Pancreatic tumor liver metastases see metastases, |
thiasis |
|
|
|
||||
– |
typical solitary |
36 |
|
|
|
non-colorectal |
|
Technique see MR imaging technique and protocol |
||||||
– versus cyst |
40 |
|
|
|
|
|
Peritoneal and liver metastases see metastases, |
|||||||
– versus hemangioma 42 |
|
|
|
non-colorectal |
|
Teleangiectatic FNH see teleangiectatic hepatocellu- |
||||||||
– with portal vein and bile duct encasement |
46 |
Primary sclerosing cholangitis (PSC) |
220 – 231 |
lar lesion |
|
|
||||||||
Metastasis, non-colorectal |
52 – 72 |
|
|
– cholangitis and segmental atrophy |
220 |
Teleangiectatic hepatocellular lesion 164 |
||||||||
– breast carcinoma liver metastases |
52 |
|
– hilar cholangiocarcinoma (Klatskin) |
230 |
Thalasemia with severe iron deposition |
180 |
||||||||
– carcinoid |
66 |
|
|
|
|
|
– intra-hepatic cholangiocarcinoma |
228 |
Thrombosis |
104 – 107, 188 – 193 |
|
|||
– gastrinoma |
64 |
|
|
|
|
|
– intra-hepatic cholestasis 222 |
|
– hepatic vein thrombosis in Budd-Chiari syn- |
|||||
– Kahler’s disease (multiple myeloma) liver metas- |
– intra-hepatic stones 224 |
|
drome |
188 – 193 |
|
|||||||||
|
tasis |
54 |
|
|
|
|
|
|
Protocol see MR imaging technique and protocol |
– Portal vein tumor thrombus in HCC |
104 – 107 |
|||
– melanoma, diffuse |
58 |
|
|
|
Pseudolesions see arterio-portal shunts |
|
Transfusinal iron deposition see hemosiderosis |
|||||||
– melanoma, focal |
|
56 |
|
|
|
Pseudomyxoma peritoneii see metastasis, |
Umbilication |
108, 209 |
|
|||||
– |
ovarian, liver and peritoneal metastases |
70 |
non-colorectal, ovarian |
|
|
|||||||||
– pancreatic tumor |
|
62, 72 |
|
|
|
Pyogenic abscess see abscess |
|
– Gallbladder carcinoma 209 |
|
|||||
– peritoneal spread |
|
68 |
|
|
|
Regenerative nodule see cirrhosis |
|
– HCC |
108 |
|
|
|||
– renal cell carcinoma liver metastases 72 |
|
|
Vascular shunt see arterio-portal shunt |
|
||||||||||
– typical neuroendocrine |
60 |
|
|
Renal cell liver metastases see metastases, |
|
|||||||||
MR imaging technique and protocol |
244 |
|
non-colorectal, renal |
|
Von Meyenberg complexes see biliary hamartomas |
|||||||||
Mucinous metastasis see metastasis, colorectal |
Rendu-Osler-Weber disease see hereditary hemor- |
|
|
|
|
|||||||||
|
|
|
|
|
|
|
|
|
rhagic teleangiectasia |
|
|
|
|
|