Radiological reasoning: incidentally discovered liver mass.

Michelle M Bittle; Felix S Chew

doi:10.2214/ajr.05.1767

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PubMed · 16714621

Radiological reasoning: incidentally discovered liver mass.

Michelle M Bittle·Felix S Chew

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Abstract

OBJECTIVE: A 49-year-old woman presented to the emergency department after a fall in which she sustained a right subcapital hip fracture. During her hospital stay she developed abdominal pain, and a hypoechoic liver mass was found on sonography. Multiphase CT showed a hepatic mass with brisk arterial phase enhancement, rapid washout on the portal venous phase, and delayed phase hypodensity. The final pathology diagnosis was hepatocellular carcinoma. CONCLUSION: Incidental lesions are frequently discovered during routine radiographic evaluations. Correlation with clinical history and additional confirmatory imaging is essential for appropriate diagnosis and management.

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Abdomen, Acute Carcinoma, Hepatocellular Female Hip Fractures Humans Incidental Findings Liver Neoplasms Middle Aged Tomography, X-Ray Computed Ultrasonography, Doppler, Color Case Reports Journal Article

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Michelle M Bittle, Felix S Chew. 2006. Radiological reasoning: incidentally discovered liver mass.. https://doi.org/10.2214/ajr.05.1767

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