Breast carcinoma with liver metastasis
Updates to Case Attributes
Updates to Study Attributes
Plain and contrast images of CT abdomen and pelvis revealed –
Heterogeneously enhancing large solid mass lesion involving entire right and caudate lobes of liver with dystrophic calcifications and necrosis within, infiltrating the intrahepatic segment of inferior vena cava and right portal vein, extending into left portal vein and main portal vein.
Gall bladderThe gallbladder and right adrenal gland are not separately visualised.
Minimal ascites noted.
Enhancing lytic soft tissue lesion noted in left iliac bone.
Incidentally, visualised chest showed an enhancing lobulated soft tissue density lesion with central calcifications in right breast.
A diagnosis of primary breast malignancy with liver and iliac bone metastases was suggested.
Updates to Study Attributes
Contrast enhanced 18F8F-FDG Whole Body PET-CT scan was performed, that showed –
- MetabolicallyMetabolically active disease in the well-defined soft tissue density lesion in the outer quadrant of right breast – site of primary lesion.
- LungLung nodules showing faint metabolic activity – likely to be metastatic.
- LowLow grade metabolic activity noted in large lesion involving right lobe and caudate lobe of liver, showing calcifications within, with exophytic component and infiltration into intrahepatic segment of inferior vena cava, right, left and main portal vein – likely to be metastatic.
- HypermetabolicHypermetabolic lytic lesion in left iliac bone – metastatic.