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Fig. 3D. —73-year-old woman with Child's [15] class B cirrhosis and recurrent hepatocellular carcinoma (maximal diameter, 8 mm) in inferior anterior segment of right lobe of liver. Portal phase real-time contrast-enhanced harmonic gray-scale sonogram obtained immediately after percutaneous ethanol injection guided by real-time contrast-enhanced harmonic gray-scale sonography shows tumor (arrowheads) as nonenhancing area. Note that this nonenhancing area covers more than homogeneous enhancement seen in B. Enhancement of normal liver parenchyma is seen.

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