Large hepatocellular carcinoma
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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.