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Incidental liver lesions seen on breast MRI: When is additional imaging warranted

European Journal of Radiology Aug 26, 2017

Knox M, et al. – This study was carried out to distinguish the incidence and nature of liver lesions seen on breast MR, and determine if additional imaging is necessary. According to the data, 91.1% of incidental hepatic lesions were circumscribed, T2 hyperintense lesions and defined as clearly as bright as adjacent fat on T2 weighted imaging at additional review. None of which were clinically significant at clinical or radiological follow–up. They suggest that circumscribed T2 hyperintense lesions which are clearly as bright as adjacent fat on T2 weighted imaging are of unlikely clinical significance and follow–up imaging should not be recommended, reducing the rate of additional imaging from 37.3% to 5.3%.
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