Case 157:   Metastasis - Sarcoma

Diagnostic Category:

Clinical Presentation:

50 year old woman with history of retroperitoneal leiomyosarcoma, presents for restaging.

CT: Leiomyosarcoma, hypervascular, perifocal edema

Imaging Findings:

Portal venous phase CT shows multiple, mostly round hepatic leiomyosarcoma metastates with variable enhancement. Some are hypervascular with a peripheral hypoattenuating rim, typical for perifocal edema, some are hypovascular and centrally necrotic.