EURORAD ESR

Case 11744

A rare case of liver cystoadenocarcinoma

Author(s)
Fabiano S, De Vivo D, Croce G, Arduini S, Greco L, Simonetti G.

Via de Rosa 30
84016 Pagani;
Email:giusycroce@gmail.com
 
Patient
male, 58 year(s)
 
 
  • Figure 1
    Axial T1-weighted image

    The image shows a hypointense lesion.

     
    Area of Interest: Abdomen; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Pathology;
     
     
  • Figure 2
    Axial T2-weighted image

    The image shows a hyperintense lesion with thin septa and with a hint of nodularity.

     
    Area of Interest: Abdomen; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Pathology;
     
     
  • Figure 3
    Fat saturated T2 MR image

    Hyperintense cystic lesion. The peripheral pseudocapsule is also seen in this image.

     
    Area of Interest: Abdomen; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Pathology;
     
     
  • Figure 4
    Coronal thick-slab T2W magnetic resonance cholangiopancreatography (MRCP)

    The image shows the dilatation of the right biliary tree and choledochus is of normal calibre.

     
    Area of Interest: Abdomen; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Pathology;
     
     
  • Figure 5
    Axial T1W images after intravenous gadolinium
     

    Axial T1W images performed 25 seconds (a), 60 seconds (b) and 90 seconds (c) clearly show nodular lesion with enhancement of pseudocapsula and parietal vegetations.

     
    Area of Interest: Abdomen; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Pathology;

    Axial T1W image performed 60 seconds after contrast administration

     
    Area of Interest: Abdomen; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Pathology;

    Axial T1W image performed 90 seconds after contrast

     
    Area of Interest: Abdomen; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Pathology;
     
     
  • Figure 6
    MIP image

    Portal phase dynamic study shows as the tumour seems to compress the portal vein confluence.

     
    Area of Interest: Abdomen; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Pathology;
     
     
  • Figure 7
    T2 W image

    The relationship with the inferior vena cava is seen in this image.

     
    Area of Interest: Abdomen; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Pathology;
     
     
  • Figure 8
    Postoperative image

    Axial T1 post-contrast image shows the complete resection of the mass.

     
    Area of Interest: Abdomen; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Pathology;
     
     
The image shows a hypointense lesion.
 
The image shows a hyperintense lesion with thin septa and with a hint of nodularity.
 
Hyperintense cystic lesion. The peripheral pseudocapsule is also seen in this image.
 
The image shows the dilatation of the right biliary tree and choledochus is of normal calibre.
 
Axial T1W images performed 25 seconds (a), 60 seconds (b) and 90 seconds (c) clearly show nodular lesion with enhancement of pseudocapsula and parietal vegetations.
 
Axial T1W image performed 60 seconds after contrast administration
 
Axial T1W image performed 90 seconds after contrast
 
Portal phase dynamic study shows as the tumour seems to compress the portal vein confluence.
 
The relationship with the inferior vena cava is seen in this image.
 
Axial T1 post-contrast image shows the complete resection of the mass.
 
 
 
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