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    SubjectsRadiologyFocal Nodular Hyperplasia - Central Scar
    ClinicalRadiology

    Focal Nodular Hyperplasia - Central Scar

    1 MCQs in Radiology for NEET PG

    1 Medium
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    A 30-year-old woman is incidentally found to have a 4 cm liver lesion on ultrasound performed for non-specific abdominal pain. She denies oral contraceptive use and has normal liver function tests and AFP. Ultrasound reveals a slightly hypoechoic, well-circumscribed lesion with a stellate hypoechoic area at its centre (marked **A**). Colour Doppler demonstrates a central feeding artery with radial branching (spoke-wheel pattern). Multiphase CT shows homogeneous arterial enhancement becoming iso-dense in the portal venous phase, with the central area marked **A** remaining non-enhancing. Hepatobiliary phase MRI with gadoxetate shows the lesion as isointense to hyperintense. Based on these imaging findings, what is the pathological significance of the structure marked **A**?

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