Inflammatory pseudotumor of the liver is a rare entity; fewer than 50
cases have been reported in the world literature. Its appearance on bo
th computerized tomography (CT) and ultrasound have been previously de
scribed. To our knowledge, this is the first report of its appearance
on magnetic resonance imaging (MRI). The lesion demonstrated increased
signal intensity on T-1 and T-2 spin-echo and inversion recovery (STI
R) sequences in relationship to normal liver. The signal characteristi
cs, however, were nonspecific and diagnosis required biopsy confirmati
on. There was spontaneous resolution with conservative management, and
this was documented on follow-up CT and MRI.