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Abdomen » Hepatobiliary
Hepatic metastases
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Presentation A woman with a known primary ovarian carcinoma presents for follow-up ultrasound. She has elevated liver function tests. An ultrasound was performed.
 
 
 
Caption: Scan of the RUQ
Description: There is ascites that is seen surrounding the liver. The liver shows the presence of at least 2, large hypoechoic masses. There is no evidence of calcification or cystic changes within the masses. These masses are suggestive of metastases.
 
 
 
Caption: Scan of the liver
Description: A large hypoechoic mass is seen in the inferior portion of the liver. Ascites is also seen.
 
Differential Diagnosis Hepatic metastases
 
Final Diagnosis Hepatic metastases consistent with the known primary ovarian carcinoma
 
Follow Up A CT scan performed confirmed the ultrasound findings.
 
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