Figure it out fridays 

A woman in her 40s was referred by her gynecologist for an incidental finding in the liver during routine USS which showed a hepatic mass in the right lobe composing approximately 50% of the liver parenchyma. The patient was asymptomatic, and there were no significant findings on abdominal physical examination. All blood tests came back negative. She had not received any medication, including contraceptive pills or hormones, for more than 10 years. She has history of elective splenectomy (reason unknown) nine years ago as well as C-section at the age of 25 years. CT findings as shown. She was scheduled for surgery and intraoperative findings were as above.

 

What Is Your Diagnosis?

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A. Hepatocellular carcinoma

B. Fibrolamellar carcinoma

C. Gossypiboma

D. Hepatic metastasis