Hepatocarcinoma

Case contributed by Bruno Di Muzio
Diagnosis almost certain

Presentation

Incidental lesion on ultrasound of the liver (not shown).

Patient Data

Age: 70 years
Gender: Male

CT Liver

ct
This study is a stack
Axial
non-contrast
This study is a stack
Axial C+
arterial phase
This study is a stack
Axial C+ portal
venous phase
This study is a stack
This study is a stack
Coronal C+
arterial phase
This study is a stack
Coronal C+
arterial phase
This study is a stack
Coronal C+
delayed
This study is a stack
Sagittal C+
arterial phase
This study is a stack
Sagittal
C+ delayed
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Info

The liver is cirrhotic and demonstrates a large (6cm) hypervascular lesion in the segment IVA that shows washout on the subsequent portal venous and delayed phases. Minor shunting of the contrast to the hepatic vein is demonstrated during arterial phase.  The features are consistent with hepatocellular carcinoma. No other focal hepatic lesion is identified. The portal and hepatic veins are patent. 

Case Discussion

Typical imaging features of HCC in a cirrhotic patient. 

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