PMC4827792_01
CT showing 4.8 cm x 4.2 cm x 5.9 cm peripheral low-attenuation lesion with small peripheral septations within the right hepatic lobe.
ccrep-9-2016-031f1.jpg
PMC4827792_01_ccrep-9-2016-031f1.jpg
f1-ccrep-9-2016-031
A computed tomography scan (CT scan) of the abdomen and pelvis showed a large liver mass (Fig. 1).
MRI demonstrating a mildly heterogeneous T2 hyperintense lesion in the right hepatic lobe, measuring approximately 4.4 cm x 4.8 cm x 4.9 cm.
ccrep-9-2016-031f2.jpg
PMC4827792_01_ccrep-9-2016-031f2.jpg
f2-ccrep-9-2016-031
A magnetic resonance imaging (MRI) was done due to persistence of symptoms, which demonstrated a 4.4 cm x 4.8 cm x 4.8 cm right hepatic lobe mass with a large area of necrosis with peripheral enhancement (Fig. 2).
Neoplastic cells with osteoid deposition (hematoxylin and eosin [H&E] x 100).
ccrep-9-2016-031f3.jpg
PMC4827792_01_ccrep-9-2016-031f3.jpg
f3-ccrep-9-2016-031
The core biopsy yielded fibroblastic malignant cells producing lace-like osteoid matrix (Fig. 3).