this post was submitted on 29 Jun 2023
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Radiology

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68 year old with several months of worsening fatigue and 20 pound weight loss. Physical exam notable for a firm, nodular liver.

CT [top images]: Large round, heterogeneous mass, this time in the right hepatic lobe. See here for a left hepatic cholangio. This was initially thought to be a large hemangioma.

MR [bottom left image - T2 FS, bottom right image - postcontrast LAVA]: Large, very heterogeneous mass, partially compressing the inferior vena cava.

This mass was also not survivable.

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