Liver lesion. >1.5 cm. Suspicious or “flash-filling” features. Unknown risk.
ACR White Paper recommendations (Gore, et al. J Am Coll Radiol 2017;14:1429-1437) suggest the following:
For patients with low risk of having a malignant hepatic lesion, prompt hepatic protocol MRI is recommended for further evaluation.
For patients with high risk of having a malignant hepatic lesion, prompt hepatic protocol MRI or biopsy (core biopsy is preferred over FNA) is recommended for further evaluation.
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