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Fig. 3C. —Focal nodular hyperplasia in 38-year-old woman with atypical features on unenhanced T1-weighted image and typical enhancement after administration of mangafodipir trisodium. Note usefulness of gadolinium chelates to reveal additional lesions. Gadolinium-enhanced dynamic T1-weighted gradient-recalled echo MR image obtained during arterial dominant phase shows lesion to be markedly hyperintense to liver parenchyma (black arrow). In addition, second lesion (white arrow) can now be seen in segment IV and appears hyperintense as well. Second lesion appeared unchanged at follow-up, so diagnosis of focal nodular hyperplasia is likely.

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