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165,344 Registered Members as of 07/17/2018.
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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