Hepatic nodules are frequent findings in imaging and appropriate differentiation through imaging and clinical history helps to monitor and manage these patients.

This patient had an incidental liver nodule during abdominal ultrasound. It was worked up through computed tomography and MRI.

In this case, the difference between FHC and FNH is important and can be diagnosed with conventional MRI and contrast. Some cases may require specific contrasts, such as Primovist, to aid in differentiation when examination with conventional gadolinium is not sufficiently clear.