PMC9618236_01
(A) Contrast-enhanced liver MRI, early arterial phase, showing a typical image of HCC lesions located in segment VIII, with significant contrast intake. (B) Delayed phase of enhanced liver MRI, showing the wash-out and pseudo-capsule appearance of HCC. (C) Computed tomography-guided radiofrequency ablation was performed to treat the HCC. (D) A peripheral blood smear showed numerous schistocytes.
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T2-weighted imaging (T2WI) and diffusion-weighted imaging (DWI), a hyper-signal nodule localized in segment VIII, in the vicinity of the porta hepatica, which was significantly enhanced in the arterial phase (Figure 1A), while the wash-out and pseudo-capsule features could be seen in the delayed phase (Figure 1B). This was consistent with the typical imaging findings of HCC lesions on non-invasive diagnosis. On the third day after admission, the patient underwent CT-guided RFA for HCC (Figure 1C). On the fifth day, he had some petechiae on the wrists, his platelet count dropped to 8x109/muL, and peripheral blood smears showed a large number of schistocytes (Figure 1D).