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Fig. 1A. —Hypervascular hepatocellular carcinoma with rapid central washout and peritumoral coronal enhancement in 70-year-old man. First- to sixth-phase images obtained with multiarterial phase contrast-enhanced dynamic MRI of whole liver. Hypervascular hepatocellular carcinoma starts to show early enhancement in second phase (arrow, B). Lesion is more clearly seen in third phase (C) and then shows rapid central washout and peritumoral coronal enhancement in fifth (E) and sixth phases (arrow, F). Segmental enhancement in right lobe caused by arterioportal shunt is also seen. No lesion is seen in this area.





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