Liver imaging: hepatic adenoma: practice question

A Radiology question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Radiology · Liver imaging: hepatic adenoma

Sample item

A 28-year-old woman on long-term oral contraceptives presents with sudden right upper quadrant pain and hypotension. CT shows a 7 cm liver mass with a fat-containing component and an intralesional haematoma. What is the likely lesion?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

C. Hepatic adenoma with haemorrhage

Adenomas occur in women using oral contraceptives, may contain fat and are prone to haemorrhage and rupture, especially when larger than 5 cm. Focal nodular hyperplasia has a central scar and rarely bleeds. Haemangiomas show peripheral nodular enhancement.

Option by option

  • A. Hepatic haemangioma

    Haemangiomas rarely haemorrhage and have a typical nodular enhancement.

  • B. Fibrolamellar carcinoma

    Fibrolamellar carcinoma has a central calcified scar and affects young adults without this context.

  • C. Hepatic adenoma with haemorrhage (correct)

    Correct. Bleeding in a fatty hepatic mass in a woman on the pill suggests adenoma.

  • D. Focal nodular hyperplasia

    FNH rarely bleeds and shows a central scar.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this Radiology question

What is the answer to this Radiology question?

The best answer is C, Hepatic adenoma with haemorrhage. Adenomas occur in women using oral contraceptives, may contain fat and are prone to haemorrhage and rupture, especially when larger than 5 cm.

Why is "Hepatic haemangioma" not the answer?

Haemangiomas rarely haemorrhage and have a typical nodular enhancement.

Why is "Fibrolamellar carcinoma" not the answer?

Fibrolamellar carcinoma has a central calcified scar and affects young adults without this context.

Why is "Focal nodular hyperplasia" not the answer?

FNH rarely bleeds and shows a central scar.

What concept does this question test?

It tests Liver imaging: hepatic adenoma in Radiology. Focal nodular hyperplasia has a central scar and rarely bleeds. Haemangiomas show peripheral nodular enhancement.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Liver imaging: hepatic adenoma?

Learn signs with the image, and the disease they point to. Then use the flashcards and the other Radiology questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.