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RADIOLOGY: HEPATOBILIARY: Case# 32768: HCC (ARTERIAL&VENOUS PLEXUSES). 52 year old male with cirrhosis.he patient also has an elevated LFT. 1) Enlarging heterogeneous mass within the posterior segment of the right lobe of the liver most likely hepatocellular carcinoma in a patient with known cirrhosis and elevated AFP. 2) Interval development of intrahepatic biliary dilatation within the right lobe of the liver as well as ascites within the abdomen and pelvis. 3) Enlarged portal node indicative of metastatic disease. In addition there are hyperintense rounded areas of the margin of the liver on the arterial phase which could also represent metastatic disease. 4) Splenomegaly with patent splenic vein and portal vein. 5) Small amount of left base consolidation with a small left pleural effusion. Patchy areas of air space disease in both lung bases which are nonspecific.

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Peter Anderson
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