Case contributed by Dr Hani Salam


Abdominal pain and weight loss.

Patient Data

Age: 80
Gender: Female

A large hypodense lesion in the segment V of the liver, with very subtle enhancement appreciable in the delayed phase of the contrast study, with the central portion remains unenhanced. Portal vein is patent. No CT evidence of cirrhosis or portal hypertension. No hepatic capsular retraction. No porta hepatis enlarged lymph nodes. 

Large volume ascites. 

Interpretation: Imaging appearance can be seen with liver metastasis (hypovascular) from unknown primary, with intrahepatic cholangiocarcinoma is also possible. Hepatic lymphoma is less likely in the differnetial diagnosis.  

Case Discussion


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Case information

rID: 20124
Published: 4th Nov 2012
Last edited: 22nd May 2018
Inclusion in quiz mode: Included

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