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Radiological Reasoning: Incidentally Discovered Liver Mass

Michelle M. Bittle1 and Felix S. Chew1

1 Both authors: Department of Radiology, University of Washington, Harborview Medical Center, 325 Ninth Ave., Box 359728, Seattle, WA 98104-2499.


Figure 1
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  		Fig. 1A. —49-year-old woman hospitalized after fall in whom incidental liver mass was found. Gray-scale (A) and color Doppler (B) sonograms of right lobe of liver. Arrows in A indicate hypoechoic mass.

 

Figure 2
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  		Fig. 1B. —49-year-old woman hospitalized after fall in whom incidental liver mass was found. Gray-scale (A) and color Doppler (B) sonograms of right lobe of liver. Arrows in A indicate hypoechoic mass.

 

Figure 3
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  		Fig. 1C. —49-year-old woman hospitalized after fall in whom incidental liver mass was found. Unenhanced CT scan through liver. Note mixed isodense-hypodense mass (arrows) in segments V and VI of right lobe with attenuation of 37 H.

 

Figure 4
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  		Fig. 1D —49-year-old woman hospitalized after fall in whom incidental liver mass was found. Contrast-enhanced CT scans through liver in arterial (D), portal venous (E), and 10-min delayed (F) phases. In D, note mixed enhancement of mass that replaces caudal aspect of segments V and VI. Rapid washout is seen in E, and mass remains hypodense in F.

 

Figure 5
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  		Fig. 1E —49-year-old woman hospitalized after fall in whom incidental liver mass was found. Contrast-enhanced CT scans through liver in arterial (D), portal venous (E), and 10-min delayed (F) phases. In D, note mixed enhancement of mass that replaces caudal aspect of segments V and VI. Rapid washout is seen in E, and mass remains hypodense in F.

 

Figure 6
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  		Fig. 1F —49-year-old woman hospitalized after fall in whom incidental liver mass was found. Contrast-enhanced CT scans through liver in arterial (D), portal venous (E), and 10-min delayed (F) phases. In D, note mixed enhancement of mass that replaces caudal aspect of segments V and VI. Rapid washout is seen in E, and mass remains hypodense in F.

 

Figure 7
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  		Fig. 1G —49-year-old woman hospitalized after fall in whom incidental liver mass was found. Contrast-enhanced sagittal (G) and coronal (H) reformatted images show prominent hepatic artery extending to margin of mass (arrow).

 

Figure 8
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  		Fig. 1H —49-year-old woman hospitalized after fall in whom incidental liver mass was found. Contrast-enhanced sagittal (G) and coronal (H) reformatted images show prominent hepatic artery extending to margin of mass (arrow).

 

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