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. 2020 May 28;50(10):1333–1348. doi: 10.1007/s00247-020-04682-5

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© The Author(s) 2020

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Fig. 11 — Tricuspid atresia and transposition of the great arteries in a 15-year-old girl with Fontan circulation and normal hepatic serological markers. As part of regular follow-up, MRI was performed including an axial gradient echo breath-hold sequence with fat suppression, sequences pre- (a) and post-injection of gadoxetic acid in arterial phase (b), portal venous phase (c), and after 2 min (d), 5 min (e) and 27 min (hepatobiliary phase) (f). Typical findings show an enlarged liver with an irregular congestive pattern. There is a nodular lesion anterolateral to the inferior caval vein (white arrows) with isointense signal to liver on T1-W pre-contrast and arterial enhancement with partial washout (e) and in hepatobiliary phase, a clear enhancement (f). The lesion was interpreted as a focal-nodular-hyperplasia-like lesion. Note additional small hypervascular nodules in the periphery (black arrow in b)