EURORAD ESR

Case 438

Lumbar vertebral metastasis from hepatocellular carcinoma

Author(s)
F. Donati, R. Lencioni, M. Di Giulio, C. Bartolozzi
 
Patient
male, 70 year(s)
 
 
  • Figure 1
    CT of the liver
     

    Unenhanced spiral CT of the liver. The baseline scans show the presence of a nodular lesion of 2 cm in diameter, located at the third hepatic segment. This lesion appears hipoattenuating compared to the surrounding...

     
    Area of Interest: unknown; Imaging Technique: CT of the liver;

    Contrast enhanced spiral CT of the liver, arterial phase. The lesion shows a contrast enhancement and appears poorly hyperattenuating compared to the surrounding liver parencyma.

     
    Area of Interest: unknown; Imaging Technique: CT of the liver;

    Contrast enhanced spiral CT of the liver, portal-venous phase. The lesion appears hypoattenuating in the portal-venous phase with a peripheral hyperattenuating capsule.

     
    Area of Interest: unknown; Imaging Technique: CT of the liver;
     
     
  • Figure 2
    Unenhanced spiral CT
     

    Presence of a mass located at the level of the fourth lumbar vertebra on the left side.

     
    Area of Interest: unknown; Imaging Technique: Unenhanced spiral CT;

    Presence of a mass located at the level of the fourth lumbar vertebra on the left side.

     
    Area of Interest: unknown; Imaging Technique: Unenhanced spiral CT;

    Contrast enhanced spiral CT, arterial phase. The lesion appears hypervascular, and shows a contrast-enhancement in the arterial phase. The mass invols anterior psoas muscle, lateral iliac muscle, posterior...

     
    Area of Interest: unknown; Imaging Technique: Unenhanced spiral CT;

    Contrast enhanced spiral CT, arterial phase. The lesion appears hypervascular, and shows a contrast-enhancement in the arterial phase. The mass invols anterior psoas muscle, lateral iliac muscle, posterior...

     
    Area of Interest: unknown; Imaging Technique: Unenhanced spiral CT;

    Enhanced spiral CT, portal-venous phase. In the portal-venous phase, the mass shows a contrast wash-out.

     
    Area of Interest: unknown; Imaging Technique: Unenhanced spiral CT;

    Enhanced spiral CT, portal-venous phase. In the portal-venous phase, the mass shows a contrast wash-out.

     
    Area of Interest: unknown; Imaging Technique: Unenhanced spiral CT;
     
     
Unenhanced spiral CT of the liver. The baseline scans show the presence of a nodular lesion of 2 cm in diameter, located at the third hepatic segment. This lesion appears hipoattenuating compared to the surrounding liver parencyma
 
Contrast enhanced spiral CT of the liver, arterial phase. The lesion shows a contrast enhancement and appears poorly hyperattenuating compared to the surrounding liver parencyma.
 
Contrast enhanced spiral CT of the liver, portal-venous phase. The lesion appears hypoattenuating in the portal-venous phase with a peripheral hyperattenuating capsule.
 
Presence of a mass located at the level of the fourth lumbar vertebra on the left side.
 
Presence of a mass located at the level of the fourth lumbar vertebra on the left side.
 
Contrast enhanced spiral CT, arterial phase. The lesion appears hypervascular, and shows a contrast-enhancement in the arterial phase. The mass invols anterior psoas muscle, lateral iliac muscle, posterior paravertebral muscles and medial nerve roots, pedicle, superior and inferior articular processes, transverse process, vertebral body and epidural space.
 
Contrast enhanced spiral CT, arterial phase. The lesion appears hypervascular, and shows a contrast-enhancement in the arterial phase. The mass invols anterior psoas muscle, lateral iliac muscle, posterior paravertebral muscles and medial nerve roots, pedicle, superior and inferior articular processes, transverse process, vertebral body and epidural space.
 
Enhanced spiral CT, portal-venous phase. In the portal-venous phase, the mass shows a contrast wash-out.
 
Enhanced spiral CT, portal-venous phase. In the portal-venous phase, the mass shows a contrast wash-out.
 
 
 
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