Snapshot A 65-year-old man presents to his primary care physician for right upper quadrant abdominal pain. He was diagnosed with hepatitis C infection, complicated by hepatic cirrhosis. Abdominal ultrasound demonstrates a focal hepatic lesion. He underwent a multi-phase contrasted abdominal CT scan, which demonstrated an enhancing focal hepatic mass during the arterial phase with rapid washout during the portal venous phase. Introduction Overview login to view 7 more bullets Epidemiology login to view 11 more bullets Pathophysiology login to view 1 more bullet Presentation Symptoms/physical exam login to view 5 more bullets Imaging Abdominal ultrasound login to view 7 more bullets Multi-phase contrasted CT abdomen login to view 4 more bullets Multi-phase contrasted MRI abdomen login to view 4 more bullets Studies Serum labs login to view 5 more bullets Differential Hepatic adenoma login to view 2 more bullets Treatment Surgical login to view 16 more bullets Complications Hepatic failure Hemoperitoneum Portal, hepatic, or renal vein thrombosis