Radiopaedia.org

A large mass with calcified foci and central necrosis occupies most of the right liver lobe and medial segments of the left liver lobe. The mass shows heterogeneous arterial hyper-enhancement and delayed washout. It encases the right and middle hepatic veins and compresses the inferior part of intrahepatic IVC. Several venovenous intrahepatic collaterals developed because of venous obstruction. A small focus of tumoral invasion is suspected within the right portal vein. The hepatic artery hypertrophies to supply the hypervascular mass. The mass compresses the pre-pyloric antrum and the duodenal bulb. A few pulmonary nodules are visible even in the abdominal window setting. The secreted contrast in renal pelvises is due to a previous study.