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Fig. 5 | Cancer Imaging

Fig. 5

From: Primary hepatic perivascular epithelioid cell tumors: imaging findings with histopathological correlation

Fig. 5

A 29-year woman with clear-cell myomelanocytic tumor of falciform ligament/ligamentum teres. This patient presented acute pain of upper abdomen and was hospitalized in the emergency department. The non-enhanced CT (a) showed a large heterogeneous mass in the right hepatic lobe with high and low attenuation. Contrast-enhanced CT images (b, arterial phase; c, portal venous phase; d, delayed phase) demonstrated heterogeneous enhancement with necrosis and hemorrhage within the mass. Note the mass was surrounded by dysmorphic vessels (arrow) on arterial phase image. Ultrasound (e) showed an ill-defined, large hyperechoic mass with hypoechoic region within the lesion in the right lobe of liver. The patient was performed percutaneous artery embolization. One month later, she underwent CT and contrast-enhanced MRI to reevaluate the mass. Necrosis, hemorrhage and heterogeneous enhancement were also identified on non-enhanced CT (f) and contrast-enhanced MRI (g, mask T1WI; h, arterial phase; i, portal venous phase; j, delayed phase) images. Note the tumor diameter was decreased from 130 mm to 97 mm

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