Pediatric Fibrolamellar Hepatocelluar Carcinoma

  • Etiology: no history of cirrhosis, viral hepatitis or alcohol abuse
  • Imaging: no cirrhosis, calcification in 70%
  • MRI: central scar (T1+T2 hypointense) with radiating fibrous septae, does not enhance
  • Clinical: seen in adolescents + young adults with normal AFP

Radiology Cases of Fibrolamellar Hepatocelluar Carcinoma

US of hepatocellular carcinoma
Sagittal US of the liver shows it to be enlarged and multinodular in appearance.