Presentation
History of liver mass for evaluation. Hepatitis screening in our institute reveals that the patient is positive for hepatitis C.
Patient Data
Quadraphasic liver scan was performed which demonstrates a large mass infiltrate segment 7 and 8 of the liver, enhancing during the arterial phase and washout in portovenous phase consistent with hepatocellular carcinoma. The liver otherwise is unremarkable. No features of cirrhosis or portal hypertension are noted. Incidental gallbladder stones are seen.
On follow up study after 2 months the patient develops tumor thrombus involving the middle hepatic vein extending into the IVC.