Presentation
Elevated liver enzymes with a heterogenous liver lesion on ultrasound.
Patient Data
There is a hypovascular infiltrating lesion on the portal venous phase with a mild peripheral enhancement, involving all of the liver segments.
Hepatic hilum lymphadenopathies.
There is no significant mass effect on vessels and biliary ducts.
Focal and irregular thickening of the cecum wall, suggestive of a neoplastic lesion with pericolic mesenteric lymphadenopathies. Fat stranding adjacent to this lesion.
Mild bilateral pleural effusions.
Radical prostatectomy. Thrombosis of the right external iliac artery.
Case Discussion
Liver metastases can sometimes be atypical without a mass-forming lesion but instead present as an infiltrative disease as in this case.
The liver lesion was biopsied and demonstrated an adenocarcinoma from the already-known right colonic lesion.
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