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Question Neonatal Hepatic Masses

What is the most likely diagnosis?

An infant presents with a large hepatic mass on imaging. Serial AFP measurements are downtrending. CT and MRI images are provided.

AHepatoblastoma BMesenchymal Hamartoma CRapidly Involuting Congenital Hemangioma (RICH) DInfantile Hemangioma EMetastatic Neuroblastoma (Pepper syndrome)

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References

Chung EM, Cube R, Lewis RB, Conran RM. Pediatric Liver Masses Part 1: Benign Tumors. RadioGraphics. 2010;30(3):801–826.

Rajasimman AS, Patil V, Gala KB, et al. Accuracy of Contrast-Enhanced CT in Liver Neoplasms in Children Under 2 Years Age. Pediatric Radiology. 2024;54(12):1946–1955.

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