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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.