Hepatocellular carcinoma

Case contributed by Dr Heba Mohamed


Jaundice with abdominal pain.

Patient Data

Age: 65 years
Gender: Male

Right hepatic lobe focal lesion with homogenous wash in of contrast on arterial phase with wash out on delayed phase.

Liver cirrhosis with enlarged spleen. Mild ascites.

Dilated caliber of the portal vein with hypodense thrombus nearly filling its lumen down to the level of the superior mesenteric vein.

Case Discussion

65 years old male patient with abdominal pain and altered liver function.

CT images demonstrate an arterially enhancing focal liver mass with washout, portal and superior mesenteric vein, enlarged spleen as well as a small volume of ascites. 

CT findings keeps with hepatocellular carcinoma with portal and superior mesenteric vein thrombosis.

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Case information

rID: 48207
Case created: 25th Sep 2016
Last edited: 18th Oct 2017
Inclusion in quiz mode: Included

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