Liver imaging: focal nodular hyperplasia: 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.

Try it

Radiology · Liver imaging: focal nodular hyperplasia

Sample item

A young woman has an incidental liver lesion that is isodense on non-contrast CT, enhances intensely in the arterial phase and has a central stellate scar that enhances in the delayed phase. What is the diagnosis?

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

The answer and the reasoning

A. Focal nodular hyperplasia

FNH is a benign hyperplastic lesion with a central scar, usually asymptomatic and needing no treatment. Hepatic adenomas are linked to oral contraceptive use and carry a risk of haemorrhage. A fibrolamellar carcinoma has a central scar that is typically hypointense on T2.

Option by option

  • A. Focal nodular hyperplasia (correct)

    Correct. Homogeneous arterial enhancement with a central scar suggests FNH.

  • B. Hepatic adenoma

    Adenomas are heterogeneous, linked with OCP use and tend to bleed.

  • C. Hydatid cyst

    A hydatid cyst shows daughter cysts and a calcified wall.

  • D. Fibrolamellar carcinoma

    Fibrolamellar carcinoma is large with a scar that is dark on T2 and occurs without cirrhosis.

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 A, Focal nodular hyperplasia. FNH is a benign hyperplastic lesion with a central scar, usually asymptomatic and needing no treatment.

Why is "Hepatic adenoma" not the answer?

Adenomas are heterogeneous, linked with OCP use and tend to bleed.

Why is "Hydatid cyst" not the answer?

A hydatid cyst shows daughter cysts and a calcified wall.

Why is "Fibrolamellar carcinoma" not the answer?

Fibrolamellar carcinoma is large with a scar that is dark on T2 and occurs without cirrhosis.

What concept does this question test?

It tests Liver imaging: focal nodular hyperplasia in Radiology. Hepatic adenomas are linked to oral contraceptive use and carry a risk of haemorrhage. A fibrolamellar carcinoma has a central scar that is typically hypointense on T2.

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 Liver imaging: focal nodular hyperplasia?

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.