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Fig. 2C 62-year-old man with 0.6-cm fat-containing nodule (group A) in
advanced cirrhotic liver from chronic B-viral hepatitis. Nodule had
transformed to hypervascular hepatocellular carcinoma (category II) at
13-month follow-up imaging. At 13-month follow-up, transverse arterial phase
dynamic opposed-phase MR image shows 1.5-cm hypervascular lesion at same
location (arrow). Hepatic arteriography revealed hypervascular
lesion, suggesting hepatocellular carcinoma, and iodized oil accumulation was
sustained after chemoembolization (not shown). Larger nonfatty hyperintense
nodule in segment VIII (black arrowheads on A and B)
shows no hypervascularity, but it gradually enlarged on further follow-up
imaging studies, suggesting a dysplastic nodule or well-differentiated
hepatocellular carcinoma.