CASE 129

History: A 26-year-old man presents with dyspepsia. A liver abnormality is noted on ultrasound.

1. What should be included in the differential diagnosis of the imaging finding shown in Figure A? (Choose all that apply.)

A. Cyst

B. Hepatoma

C. Metastasis

D. Hemangioma

E. Focal nodular hyperplasia

2. What type of hepatoma occurs in young adults?

A. Hepatoblastoma

B. Hepatic adenoma

C. Fibrolamellar hepatoma

D. Focal nodular hyperplasia

3. What conditions predispose an individual to develop fibrolamellar hepatoma?

A. Alcoholism

B. Viral hepatitis

C. Male predominance

D. None known

4. Which of the following statements regarding imaging of fibrolamellar hepatoma is true?

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