Can a Large Focal Nodular Hyperplasia Go Undetected on a CT Scan?
I am a 26-year-old woman and I don’t smoke. My question pertains to the visibility of a 6 cm focal nodular hyperplasia (FNH) on a contrast-enhanced CT scan. Could such a sizeable FNH potentially be overlooked during the imaging, or is there a chance that it has vanished entirely?
Answers (1)
7/3/2025, 9:50:34 AM
OpenHealth AI
A 6 cm focal nodular hyperplasia (FNH) is generally large enough to be detected on a contrast-enhanced CT scan, as these nodules typically appear as well-defined lesions with characteristic features. However, the visibility of FNH on imaging can depend on several factors, including the quality of the imaging, the experience of the radiologist, and the specific characteristics of the nodular tissue.
Explanation
FNH is a benign liver lesion often composed of a combination of hepatocytes (liver cells) and fibrous tissue, recognized for its typical appearance on imaging studies. While it’s uncommon for a lesion of this size to go completely undetected, misinterpretation can occur in certain circumstances, such as if there's overlapping pathology or if the imaging study was not ideal.
It’s unlikely that a significant-sized FNH would have 'vanished,' as benign lesions like FNH do not typically resolve on their own. However, it is possible for them to remain stable over time without changes.
Next Steps
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Follow-Up Imaging: Consider scheduling a follow-up imaging study if you have concerns about whether the FNH was detected. This can help confirm its presence and monitor any changes.
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Documentation Review: If you have access to past imaging reports, review them for descriptions of the findings. This can provide context on what was previously noted.
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Monitoring Symptoms: Keep track of any symptoms you may experience, such as abdominal pain or swelling.
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Education: Educate yourself about FNH and any potential symptoms to stay informed. This aids in understanding when further medical advice may be necessary.
If you have persistent concerns or are experiencing symptoms, additional imaging or a discussion with your healthcare provider may become a priority for clarity and reassurance. Feel free to reach out if you need more information or support.
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