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Figure 12


Fig. 4H —51-year-old man with hypervascular hepatocellular carcinoma (HCC) in pathologic stage T2. Two nodules measuring 23 (black arrows) and 24 (white arrows) mm are present in segments V and III of liver. Superparamagnetic iron oxide-enhanced 2D SPGR images obtained before administration of gadolinium with TE of 2.6 milliseconds (E), 4.8 milliseconds (F), and 6.6 milliseconds (T2*-weighted) (G) and T2-weighted 2D echo-train spin-echo image with TE of 90 milliseconds (H) show both lesions have high signal intensity suggestive of phagocyte depletion. Each radiologist correctly diagnosed both HCC nodules and staged HCC burden.





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