A large heterogeneous soft tissue mass with irregular borders is seen in the right lobe of the liver which shows heterogeneous enhancement during the arterial phase and a washout on the portal venous phase. There is a central hypoattenuating area consistent with necrosis. The superior aspect of the mass is confluent with a heterogeneous soft tissue mass which infiltrates the right hemidiaphragm. Findings are suggestive of hepatocellular carcinoma.
Multiple liver lesions show heterogeneous enhancement on the arterial phase and washout on the venous phase, representing metastases.
A small amount of perihepatic fluid is noted.