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Abdomen » Liver & Biliary System
Left lobe hepatocellular carcinoma
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Author(s) :
Chaitali Shah, FRCR
Presentation A known cirrhotic presents with nausea, vomiting and weight loss. He also had complaints of abdominal distention. An ultrasound of RUQ was performed.
Caption: Ultrasound of the RUQ
Description: There is a heterogeneous lobulated hypoechoic mass occupying most of the left lobe of the liver.
Caption: Sagittal scan of the RUQ
Description: The mass is again well demonstrated. There is a moderate volume of ascitic fluid. The remainder of the liver has nodular margins, consistent with known cirrhosis.
Caption: Transverse scan of the left lobe of the liver
Description: The internal characteristics of the mass are well demonstrated in this image.
Caption: Color Doppler scan at the level of porta
Description: The portal vein is patent. The mass per se is hypovascular.
Differential Diagnosis Hepatocellular carcinoma in a known cirrhotic, regenerating nodule [extremely unlikely]
Final Diagnosis Hepatocellular carcinoma with underlying cirrhosis
Follow Up This mass was biopsied and the diagnosis confirmed.
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