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Fig. 2C. —52-year-old woman with carcinoid syndrome and single metastasis in liver. Patient refused surgery and could not afford medical therapy for control of her worsening symptoms. Contrast-enhanced CT scan obtained 8 months after ablation shows some shrinkage of ablated tumor and no evidence of local recurrence. New lesion (arrow) is visible in liver segment VIII. Note slight prominence of intrahepatic bile ducts not seen on earlier scans. Bile duct dilatation suggests partial obstruction from occult mass or ablation-induced stricture.





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