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# 32817: PROBABLE HCC, PV THROMBOSIS (ARTERIAL&VENOUS PLEXUSES). 39 year old male with cirrhosis and recurrent variceal bleeding. 1) Two heterogeneous nodules adjacent to the gallbladder fossa and in the subcapsular portion of the posterior segment of the right lobe of the liver. These nodules are most likely hepatocellular carcinoma in a patient with cirrhosis and portal vein thrombosis. There is also heterogeneous portal vein thrombosis, very suspicious for tumor thrombus. 2) Ascites with bilateral moderately large pleural effusions.3) Numerous varices of the spleen and distal esophagus with thickening of the distal esophogus consistent with recent sclerotherapy. 4) Probable cyst in the upper pole of the left kidney.

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Peter Anderson
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