Pardeep Kumar Mittal MD, Presenter: Nothing to Disclose

Courtney Ann Coursey Moreno MD, Abstract Co-Author: Nothing to Disclose

William C. Small MD, PhD, Abstract Co-Author: Nothing to Disclose

Peter Aaron Harri MD, Abstract Co-Author: Nothing to Disclose

Kiran Kumar Maddu MBBS, Abstract Co-Author: Nothing to Disclose

Juan Camilo Camacho, Abstract Co-Author: Nothing to Disclose

. To demonstrate MRI characteristics of focal nodular hyperplasia and its classification ( classic and non classic types) . To educate participants regarding variety of lesions which mimic focal nodular hyperplasia along with histopthological correlation and ensure treatment and management of such lesions  

FNH is a hyperplastic process in which all  normal constituents of liver are present but in an abnormally organized pattern The presentation includes review of MR examination  for characterization of liver lesions such as FNH and its mimics using dedicated MRI abdomen protocol.with and without contrast medium ( Multihance) and hepatobiliary agents used for problem solving cases. Focal nodular hyperplasia is second most common benign liver tumor after hemangioma and is incidentally discovered during cross sectional imaging. FNH classification Classic type 80% Non-classic type 20%) includes -Telangiectatic FNH -FNH with cytologic atypia -Mixed hyperplastic and adenomatous FNH MIMICS  HCC  Fibrolamllar,  Cholangiocarcinoma  Hypervascular metastases  Hepatic adenoma  Hemangioma  Nodular regenerative hyperplasia  THID Conclusion: MRI is invaluable tool in diagnosing primary liver lesions such as FHN and its mimics due to its excellent soft tissue contrast and helpful in management of such conditions        

http://abstract.rsna.org/uploads/2014/14003590/14003590_ewqc.pdf

Mittal, P, Coursey Moreno, C, Small, W, Harri, P, Maddu, K, Camacho, J, Focal Nodular Hyperplasia (FNH): Classification and Mimics, Findings at MR Imaging Correlating with Histopathology.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14003590.html