Multiple hepatorenal angiomyolipomas: Diagnosis with fat suppression, gadolinium-enhanced MRI

Hepatic angiomyolipoma is a rare tumor which may occur as a solitary mass or as an associated finding with tuberous sclerosis. While computed tomography allows identification of the fat component of the lesion, magnetic resonance imaging (MRI) can provide similar information, as well as multiplanar visualization and further characterization of the vascular component of the lesion. MRI utilizing fat suppression and gadolinium enhancement may best provide all of the above information, as is demonstrated in this case report, thus potentially representing the imaging modality of choice.