Abstract: |
A 24-year-old presented with left flank pain and urinary symptoms. Unenhanced abdominal CT, performed to exclude nephrolithiasis, revealed an isoattenuating liver lesion with calcifications. The patient had no previous history of chronic liver disease or alcohol ingestion and the physical examination was unremarkable. Hepatic enzymes were elevated (ALT:1295, AST:1050). Laboratory tests for hepatitis were negative. MRI findings were concerning for fibrolamellar hepatocellular carcinoma (FLC). A CT-guided liver biopsy, followed by surgical resection, confirmed the diagnosis of FLC. |