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The appearance of hemorrhage within the liver, which is common, depends on the preferred provider organization age of the hematoma. Signal heterogeneity within these tumors is common, owing to the wide range of pathologic changes that preferred provider organization may occur in hepatic adenomas. Gadolinium enhancement patterns are variable. In distinction to FNH, which are usually hypervascular, adenomas may appear as avascular lesions. However, most hepatocellular adenomas are hypervascular in the arterial phase of a dynamic contrast dynamic study. In about a third of the preferred provider organization cases, a peripheral rim is observed; this is hypointense on T1-weighted images and of variable intensity on T2-weighted sequences. This rim shows gadolinium enhancement, which corresponds to compressed normal liver around the tumor. Some MRI features described are shared both by hepatocellular adenomas and HCCs, and therefore, a tissue diagnosis may be required. Liver cyst Complex and complicated liver cysts may be confused with metastases.
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