Hepatocellular carcinoma in cirrhotic liver

Case contributed by Mohammadtaghi Niknejad


Abdominal pain with elevated liver enzyme and ESR.

Patient Data

Age: 60 years
Gender: Female

The liver has an irregular margin and parenchymal nodularity in keeping with cirrhosis. 

A 110 x 90 mm partially exophytic hypervascular mass with delayed washout and large central necrotic components is noted in the liver. Also, a 25 x 20 mm ill-defined heterogeneously enhancing mass is present at segment 7 of the liver. 

A few subcentimeter simple renal cortical cyst.   
Degenerative changes as osteophytes are seen at the lumbar spine.
Mild scoliosis with leftward convexity.

Case Discussion

Features on CT scan are compatible with hepatocellular carcinoma in a setting of cirrhosis.

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