Abdominal imaging: 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 · Abdominal imaging

Sample item

A 45-year-old woman has an incidental liver lesion on ultrasound. MRI shows a very bright lesion on T2 with peripheral nodular discontinuous enhancement that fills in centripetally on delayed images. What is the diagnosis?

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

The answer and the reasoning

C. Haemangioma

Hepatic haemangioma is the commonest benign liver tumour. It shows marked T2 hyperintensity (light-bulb sign) and peripheral nodular enhancement with progressive centripetal filling. No treatment is needed unless it is symptomatic or giant.

Option by option

  • A. Metastasis

    Metastases usually show rim enhancement and moderately increased T2 signal.

  • B. Focal nodular hyperplasia

    Focal nodular hyperplasia has a central scar and homogeneous arterial enhancement.

  • C. Haemangioma (correct)

    Correct. Peripheral nodular enhancement with centripetal fill-in is characteristic.

  • D. Hepatocellular carcinoma

    Hepatocellular carcinoma shows arterial hyperenhancement with washout in a cirrhotic liver.

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.

More Radiology questions

Questions about this Radiology question

What is the answer to this Radiology question?

The best answer is C, Haemangioma. Hepatic haemangioma is the commonest benign liver tumour.

Why is "Metastasis" not the answer?

Metastases usually show rim enhancement and moderately increased T2 signal.

Why is "Focal nodular hyperplasia" not the answer?

Focal nodular hyperplasia has a central scar and homogeneous arterial enhancement.

Why is "Hepatocellular carcinoma" not the answer?

Hepatocellular carcinoma shows arterial hyperenhancement with washout in a cirrhotic liver.

What concept does this question test?

It tests Abdominal imaging in Radiology. It shows marked T2 hyperintensity (light-bulb sign) and peripheral nodular enhancement with progressive centripetal filling. No treatment is needed unless it is symptomatic or giant.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. 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 Abdominal imaging?

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.