Fig. 23
From: Non-neoplastic hepatopancreatobiliary lesions simulating malignancy: can we differentiate?
A 63-year-old male with known cirrhosis and a remote history of laparoscopic cholecystectomy underwent a screening MRI exam due to mildly elevated alpha fetoprotein. Arterial phase axial plane T1W MRI demonstrates a hyperenhancing focal parenchymal lesion (arrows) in the right lobe suggesting hepatocellular carcinoma. CT obtained to guide percutaneous biopsy revealed a small calcification (not shown), and there was a second, clearly extrahepatic collection containing well-defined dropped gallstones. Pathology specimen confirmed that the index lesion was also an abscess