myRadiologist

Symptom

Incidental liver lesion - initial characterization

ConsiderationsRichard Wasley, MD

Incidental liver lesions are very common. In general workup should be attempted prior to biopsy. MR and CT most useful imaging workup. Probably little role for PET or nucs in initial eval. Ultrasound if suspect cyst or possibly to guide biopsy.

MRI best over CT although CT close second. Use CT if MRI contraindicated, abnromal renal function.

§Suggested imagingIn listed order

  1. 01MRI abdomen with gadoliniumCPT 74183
  2. 02CT multiphase liverCPT 74170
  3. 03MRI abdomen without gadoliniumCPT 74181
  4. 04CT abdomen with IV contrastCPT 74160