Multifocal hepatoma

Case contributed by Dr Heba Mohamed

Presentation

Known hepatic patient with high alpha fetoprotein levels.

Patient Data

Gender: Male
CT

Enlarged cirrhotic liver with multiple right lobe hepatic focal lesions all of them show faint wash in of contrast on arterial phase with wash out of contrast on venous and delayed phases.

Moderate splenomegaly.

Thrombosed portal vein trunk as well as its main branches.

 

Case Discussion

Known patient with liver cirrhosis. Routine US exam described multiple hepatic focal lesions together with altered liver functions.

Triphasic CT shows multiple hepatic focal lesion with CT criteria suggestive of hepatoma together with elevated alpha fetoprotein level confirming the diagnosis.

Large hypodense thrombus is filling the lumen of the PV as well as its branches.

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Case information

rID: 48348
Case created: 1st Oct 2016
Last edited: 2nd Oct 2016
Inclusion in quiz mode: Included

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