scared

[jenkay]

Hi,  Please help. I am a 33year old female that during a miscarriage experienced some pain afterward on pushing on the left side of my abdomen above the belly button region.  CT  came back to have a 1.3x1.4cm mass that was poorly defined so they wanted me to get another ct with and without contrast again and wanted me to wait which I freaked out and couldn't sit and wait so I went to get another ct.  This one came back that I have diffuse fatty liver and hyperdense abnormality in the inferior right lobe of the liver measuring 1.3x1.4cm which appears of increased density on the precontrast images.  The arterial phase demonstrates enhancement of the lesion.  The precontrast images demonstrates a hounsfield of 34 with postcontrast images demonstrating hounsfield of 106.  Portal venous phase demonstrates stable size of the abnormality with persistent enhancement with hounsfield 104.  Five minute delayed images demonstrate slight washoutof the contrast with attenuation of 62 hounsfield units. The lesion in general is at the threshold of resolution for ct.  Their impression was a dense nodule in the inferior aspect of the right lobe of the liver in the setting of the diffuse fatty liver.  Lesion enhances and demonstrates some washout on the delayed images.  They presume it to be a small early filling hemangioma.  Had mri 2months later. This is what mri said.  
The lesion demostrates signal intensity which is slightly decreased on T1-weighted sequences with mild enhancement on postcontrast images.  On the limited T2 images this is somewhat hypointense.
Their impression is 1cm low attenuation lesion demonstrated inferiorly within the right lobe of the liver.  This may represent a small dysplastic nodule or could represent atypical appearing hemangioma.  Malignant processes would be considered less likely but not entirely excluded.  Short term follow up in 3 months with ct or mri versus further evaluation such as ultrasound or PET.  Don't know what to think
Thanks

[Thomas D Schiano, MD]

it sounds like a hemangioma from what you describe.  the best way is to follow it with MRI as there is no radiation exposure.  I think everything will be OK.