EURORAD ESR

Case 14606

Primary hepatic PEComa

Author(s)
Beatriz Sastre Borregón, Emilio José Valbuena Durán, Lynda Castañeda Rodríguez, Javier Martínez Ollero

C/Donantes de sangre s/n 19002 Guadalajara, Spain; Email:beasastre@hotmail.com
 
Patient
female, 58 year(s)
 
 
  • Figure 1
    US
     

    Abdominal ultrasound examination showing an heterogeneous, well delimited, 6 cm mass, in the left hepatic lobe.

     
    Area of Interest: Abdomen; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Abdominal ultrasound examination showing an heterogeneous, well delimited, 6 cm mass, in the left hepatic lobe.

     
    Area of Interest: Abdomen; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 2
    PLAIN CT
     

    In the basal phase it shows macroscopic fat density areas within an hypodense parenchyma.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    In the basal phase it shows macroscopic fat density areas within an hypodense parenchyma.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 3
    ARTERIAL PHASE CT
     

    During the early arterial phase the tumor shows a strong and heterogeneous enhancement, with areas remaining hypodense.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    During the early arterial phase the tumor shows a strong and heterogeneous enhancement, with areas remaining hypodense.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 4
    PORTAL AND DELAYED PHASE CT
     

    In the portal phase the lesion is still slightly hyperdense.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Delayed phase CT; the lesion is isodense.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
Abdominal ultrasound examination showing an heterogeneous, well delimited, 6 cm mass, in the left hepatic lobe.
 
Abdominal ultrasound examination showing an heterogeneous, well delimited, 6 cm mass, in the left hepatic lobe.
 
In the basal phase it shows macroscopic fat density areas within an hypodense parenchyma.
 
In the basal phase it shows macroscopic fat density areas within an hypodense parenchyma.
 
During the early arterial phase the tumor shows a strong and heterogeneous enhancement, with areas remaining hypodense.
 
During the early arterial phase the tumor shows a strong and heterogeneous enhancement, with areas remaining hypodense.
 
In the portal phase the lesion is still slightly hyperdense.
 
Delayed phase CT; the lesion is isodense.
 
 
 
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