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A 64-year-old female with non-alcoholic steatohepatitis. Axial T1-weighted post-gadolinium fat-saturated images demonstrate a segment 8, 25 mm lesion with no arterial phase hyperenhancement (APHE) (A), but with washout on portal venous phase (B) and hypointensity on hepatobiliary phase (C). Despite of the washout, the lesion would not be in keeping with HCC as per EASL, APASL and KLCA due to lack of APHE. As per LI-RADS, however, the lesion can be categorized as LI-RADS 4
