Case 86:   Hepatocellular Carcinoma (HCC)

Diagnostic Category:

Clinical Presentation:

54 year old man presents with abdominal pain.

CT: Wedge shaped distribution of tumor

Imaging Findings:

Multiphase CT shows a right lobe biopsy proven HCC, best seen in the portal venous and equilibrium phases (arrows).  Note that this HCC is not hypervascular. Bland portal venous thrombosis is present (arrowheads), with cavernous transformation of the portal vein.