PEIR Digital Library

Welcome to the Pathology Education Informational Resource (PEIR) Digital Library, a multidisciplinary public access image database for use in medical education.

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RADIOLOGY: HEPATOBILIARY: Case# 118: ISODENSE LIVER LESION POST CONTRAST. Seventy-one year old with history of cirrhosis from hepatitis-B. Patient presented with lower extremity weakness. 1) Cirrhotic liver with two lesions isodense on post- contrast which are highly suggestive of hepatocellular carcinoma. An abnormal alpha feta protein would be confirmatory for HCC. 2) Kidneys are unremarkable without masses present. 3) Gynecomastia and mild to moderate small bowel wall thickening consistent with cirrhosis. Moderate splenomegaly is identified. 4) Uniformly thickened bladder wall suggestive of bladder outlet obstruction.