Table 2.
Ancillary features favouring either malignancy or benignity
Ancillary features favouring malignancy in general | Ancillary features favouring benignity |
---|---|
• US visibility as discrete nodule | • Size stability > 2 years |
• Subthreshold growth | • Size reduction |
• Restricted diffusion | • Enhancement parallels blood pool |
• Mild to moderate T2 hyperintensity | • Undistorted vessels |
• Corona enhancement | • Iron in mass (more than liver) |
• Fat sparing in solid mass | • Marked T2 hyperintensity |
• Iron sparing in solid mass | • Hepato-biliary phase isointensity |
• Transitional phase hypointensity | |
• Hepato-biliary phase hypointensity | |
Favouring HCC in particular | |
• Non-enhancing “capsule” | |
• Nodule-in-nodule | |
• Mosaic architecture | |
• Blood products in mass | |
• Fat in mass, more than adjacent liver |