Imaging approach in focal nodular hyperplasia: a case report and review of the literature

Larisa Sandulescu, Daniela Dumitrescu, Sevastita Iordache, Monalisa Filip, Dan Ionut Gheonea, Adrian Saftoiu, Tudorel Ciurea


We report a case of focal nodular hyperplasia in a 34-year-old man with no medical history. On clinical examination the patient seemed to be in good health but the image features showed a liver mass measuring about 2 x 2.5 cm. Imaging investigations showed typical features of focal nodular hyperplasia; consequently the biopsy was not necessary. A particular observation in this patient was the male sex (FNH usually appears in female patients), as well as the surprising disposition of the FNH inside a small island of normal tissue, surrounded by fatty liver. A review of the imaging appearance of focal nodular hyperplasia is also presented in detail, too.


focal nodular hyperplasia; contrast-enhanced ultrasound (CEUS); computer tomography (CT); magnetic resonance imaging (MRI)

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