case_images: PMC3354359_01
case_images: Gray-scale USG shows hepatomegaly with diffusely increased echogenicity and a well-defined predominantly hypoechoic mass (arrows) in segment VI of the right lobe of the liver
case_images: IJRI-22-54-g001.jpg
case_images: PMC3354359_01_IJRI-22-54-g001.jpg
case_images: F1
case_images: USG study of the abdomen showed hepatomegaly with diffusely raised echogenicity and a 7.5 x 4.5 cm-sized, well-defined, hypoechoic mass lesion in segment VI of the right lobe of the liver [Figure 1].
case_images: Axial precontrast CT scan of the abdomen shows hepatomegaly with diffusely low attenuation of the liver and a well-circumscribed, low-attenuation, subcapsular focal lesion (arrow) in segment VI of the right lobe. Note the bilateral small renal calculi (arrowheads)
case_images: IJRI-22-54-g002.jpg
case_images: PMC3354359_01_IJRI-22-54-g002.jpg
case_images: F2
case_images: CT scan of the abdomen showed hepatomegaly with diffuse low attenuation of the liver and a 7.5 x 4.5 x 4.8 cm well-circumscribed, low-attenuation, subcapsular focal lesion in segment VI of the right lobe; this lesion showed mild to moderate heterogeneous contrast enhancement and had a nonenhancing area within it [Figures 2 and 3]. Multiple small bilateral renal calculi were also noted [Figure 2].
case_images: Axial contrast-enhanced CT scan of the abdomen shows capsular enhancement (arrow) with mild to moderate heterogenous contrast enhancement of the tumor (arrowhead); there is a nonenhancing area within the tumor as well
case_images: IJRI-22-54-g003.jpg
case_images: PMC3354359_01_IJRI-22-54-g003.jpg
case_images: F3
case_images: CT scan of the abdomen showed hepatomegaly with diffuse low attenuation of the liver and a 7.5 x 4.5 x 4.8 cm well-circumscribed, low-attenuation, subcapsular focal lesion in segment VI of the right lobe; this lesion showed mild to moderate heterogeneous contrast enhancement and had a nonenhancing area within it [Figures 2 and 3].
case_images: Histopathological picture of the adenoma shows the paucity of hepatocytes and bile ductules (arrows), with the presence of significant fatty change in the background liver (arrowhead), PAS stain
case_images: IJRI-22-54-g004.jpg
case_images: PMC3354359_01_IJRI-22-54-g004.jpg
case_images: F4
case_images: The specimen was sent for histopathological examination along with a small bit of liver tissue, which showed PAS-positive glycogen-rich hepatic cells, confirming glycogen deposition in the liver, while the lesion itself was confirmed to be a hepatic adenoma [Figure 4].