Focal Sparing in Fatty Liver: Mimicking Hypervascular Tumor on Gadolinium-Enhanced Opposed-Phase Gradient-Echo Images

We describe the magnetic resonance imaging findings in a case of focal sparing in fatty liver that showed homogeneous hyperintensity on gadolinium-enhanced opposed-phase gradient-echo images and mimicked a hypervascular mass due to paradoxical suppression of signal intensity of surrounding liver parenchyma with fatty infiltration.