Case 364: Angiosarcoma
30 year old man presents with acute onset of abdominal pain.
Portal venous phase CT demonstrates biopsy proven primary angiosarcoma of the right lobe with extensive hypervascular as well as necrotic components. Note hemorrhage along the right paracolic gutter on coronal image due to rupture of a small portion of the tumor through the capsule.
Tumor was embolized, see CT appearance of embolized angiosarcoma here.