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Large hepatocellular carcinoma

Case contributed by Dr Abdel-Rahman Abdel-Halim

Patient Data

Age: 65 years old
Gender: Female

Enlarged cirrhotic liver with coarse parenchyma, irregular outline and enlarged left and caudate lobes.

A large soft tissue mass is seen in the right hepatic lobe (segments V & VI), measuring about 9.5x11x10 cm in its maximum AP, transverse and craniocaudal diameters respectively. It shows heterogeneous enhancement and contains a central area of hypodensity consistent with a necrotic core.

There is contrast washout as the lesion is hypodense on the delayed phase. No intrahepatic biliary radicles dilatation. Patent homogenously enhancing portal vein and its main branches.

Case Discussion

A typical case of hepatocellular carcinoma (proved pathologically), shows typical features of contrast enhancement. Features of hepatic cirrhosis are evident, as well.

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