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Fig. 4B. 77-year-old woman with chronic type C viral hepatitis and moderately
differentiated 6.8-cm hepatocellular carcinoma showing moderate vascular
endothelial growth factor (VEGF) expression, isointensity on in-phase
T1-weighted, homogeneous moderate hyperintensity on T2-weighted, and
heterogeneous, moderate enhancement on hepatic arterial dominant phase images.
Child-Pugh grade was A. In-phase T1-weighted spoiled gradient-recalled echo
(GRE) (TR/TE, 150/4.2) axial image shows hepatocellular carcinoma as virtually
isointense lesion (arrow) without internal heterogeneity.
Opposed-phase T1-weighted spoiled GRE (150/1.6) axial image (not shown here)
shows hepatocellular carcinoma as homogeneous, moderately hypointense lesion.
Signal intensity reduction was seen between in-phase and opposed-phase GRE
images, indicative of presence of intratumoral fat deposition.