Case of the week 2

This week's case is a routine enhanced CT exam in a 60 year old female performed to evaluate back pain.

The first image shows an axial image of the liver with a lesion in the left hepatic lobe. This lesion is also shown in the coronal and sagittal planes.

A review of the EMR shows that the patient does not have a history of liver disease or cancer.

How would you describe this lesion in your report?

What would be your differential diagnosis?

What would be your recommendation?

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