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Solitary liver lesion in a patient with blunt abdominal trauma

¹ Department of Abdominal, Visceral, Vascular and Pediatric Surgery, ² Department of Diagnostic and Interventional Radiology, University Hospital of the Saarland, D-66421 Homburg/Saar, Germany

View larger version (54K): [in this window] [in a new window]   Figure 1. (a) Unenhanced CT scan showing a hypoattenuating area of irregular shape within liver segments 7 and 8 (cross). (b) After administration of contrast media a peripheral and partially septal enhancement of the lesion is detectable (cross).

View larger version (138K): [in this window] [in a new window]   Figure 2. Contrast-enhanced CT scan 9 years after the trauma demonstrates a progressive multiloculated hypoattenuating lesion with unchanged septal enhancement.

View larger version (124K): [in this window] [in a new window]   Figure 3. MR scan in(a) axial T2 weighted turbo spin echo (TSE) sequence and in (b) coronal T2 weighted HASTE sequence reveals a multicystic liver lesion. The cystic components with hyperintense signal intensity are separated by thin septal structures. (c) After administration of contrast media (Gd-BOPTA) a septal enhancement and a marginal peripheral enhancement of the surrounding liver tissue is observed [arrow, axial T1 weighted gradient echo (GRE) sequence].