EURORAD ESR

Case 12471

A rare case of hepatocellular carcinoma with right atrial invasion

Author(s)
Kaneria NT, Vishwanath K, Sandeep MB

Father Muller Medical College Hospital,
Father Muller Charitable Institution;
Kankanady 575002, Mangalore, India;
Email:tess.jose@gmail.com
 
Patient
male, 67 year(s)
 
 
  • Figure 1
    USG abdomen

    USG abdomen shows hepatic mass invading IVC and right atrium.

     
    Area of Interest: Liver; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Metastases;
     
     
  • Figure 2
    NECT axial section

    NECT axial section showing heterodense lesion in liver and similar lesion in the right atrium.

     
    Area of Interest: Liver; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 3
    CECT axial section

    CECT axial section showing heterogeneously enhancing mass lesion in liver with central areas of necrosis (black arrow) and similar lesion in the right atrium (white arrow).

     
    Area of Interest: Liver; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Metastases;
     
     
  • Figure 4
    CECT coronal reformatted image

    CECT coronal reformatted image showing heterogeneously enhancing mass lesion in liver (white arrow), similar lesion in the right atrium (black arrow). Invasion of hepatic vein and IVC (white open arrow).

     
    Area of Interest: Liver; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Metastases;
     
     
  • Figure 5
    CECT MIP axial image

    CECT MIP axial images showing arterial (black arrow) supply from right hepatic artery to the mass lesion in the liver (white arrow).

     
    Area of Interest: Liver; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
USG abdomen shows hepatic mass invading IVC and right atrium.
 
NECT axial section showing heterodense lesion in liver and similar lesion in the right atrium.
 
CECT axial section showing heterogeneously enhancing mass lesion in liver with central areas of necrosis (black arrow) and similar lesion in the right atrium (white arrow).
 
CECT coronal reformatted image showing heterogeneously enhancing mass lesion in liver (white arrow), similar lesion in the right atrium (black arrow). Invasion of hepatic vein and IVC (white open arrow).
 
CECT MIP axial images showing arterial (black arrow) supply from right hepatic artery to the mass lesion in the liver (white arrow).
 
 
 
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