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Fig. 8B. —72-year-old man with solitary liver metastasis 3 years after left radical nephrectomy for renal cell carcinoma. Case emphasizes importance of arterial phase imaging in detecting renal cell carcinoma metastatic to liver. (Reprinted with permission from [9]) Contrast-enhanced helical CT scan during portal venous phase obtained 63 sec after A shows mass (arrow) to be nearly isodense compared with normal liver. Metastasis was confirmed at surgery.