Page 536 - Atlas of Small Animal CT and MRI
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526  Atlas of Small Animal CT and MRI


              Figure 5.3.4  Nodular Hyperplasia (Canine)                                                   CT
                                                                              10y MC mixed‐breed dog with liver mass.
                                                                              On the unenhanced image (a), the liver nodules
                                                                              are isoattenuating to the hepatic parenchyma,
                                                                              with a suggestion of mass effect on the left
                                                                              side. Multiple well‐defined round masses are
                                                                              visible in the early arterial phase (b: arrow-
                                                                              heads), with homogeneous contrast enhance-
                                                                              ment. The nodules become more isoattenuating
                                                                              in the portal phase (c) and are isoattenuating
                                                                              in the delayed phase (d). Hyperattenuating
                                                                              material is present in the dependent gallblad-
                                                                              der (a: arrow). Biopsy diagnosis of the nodules
                                                                              was nodular hyperplasia.
             (a) CT, TP                       (b) CT+C, TP





















             (c) CT+C, TP                     (d) CT+C, TP

              Figure 5.3.5  Hepatic Adenoma (Canine)                                                       CT

                                                                              7y FS Maltese with elevated liver enzymes. There
                                                                              is a hypoattenuating mass with slightly irregular
                                                                              margins in the quadrate lobe (a: arrowheads),
                                                                              medial to the gallbladder (a: asterisk). On the
                                                                              arterial phase image (b), there is diffuse enhance-
                                                                              ment of the mass associated with an internal
                                                                              reticular  pattern.  During  the  portal  (c)  and
                                                                              delayed (d) phases, the mass becomes isoatten-
                                                                              uating to normal liver. Surgical excisional biopsy
                                                                              confirmed hepatocellular adenoma.
             (a) CT, TP                       (b) CT+C, TP
















             (c) CT+C, TP                     (d) CT+C, TP
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