Mirror image artifact

Case contributed by Ayush Goel
Diagnosis certain

Presentation

Known case of renal cell carcinoma. Post op status.

Patient Data

Age: 40 years
Gender: Female
ultrasound

An echogenic nodule in segment 7 of the liver.

Arrows:

  • yellow : nodule
  • red : diaphragm
  • blue : mirror image

Case Discussion

An echogenic nodule in segment 7 of liver in a known case of renal cell carcinoma.

Possibilities in such a case includes metastatic nodule or an isolated small hemangioma. A contrast enhanced CT scan can differentiate the two, however patient was lost to follow up.

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