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Fig. 4A —65-year-old woman with hepatic steatosis and cholangiocarcinoma. Peritumoral sparing of fatty infiltration surrounds cholangiocarcinoma. Transverse sonogram shows increased liver echogenicity suggestive of hepatic steatosis and slightly hypoechoic mass in right hepatic lobe. Mass is surrounded by wedge-shaped hypoechoic areas (arrowheads). Capsular retraction adjacent to mass (arrows) is evident.