PMC7376597_01
Anteroposterior chest radiograph shows a median sternotomy defect due to previous open-heart surgery and mild cardiomegaly with epicardial pacer/leads
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F1
She underwent five aortopulmonary shunt operations in early childhood, followed by classic Fontan operation at ten years of age (Fig. 1).
Grayscale (A) and color Doppler (B) US images demonstrate a well-circumscribed, hypervascular hepatic nodule (arrows) in segment 7
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F2
HCC in the cirrhotic background (Fig. 2). However, serum alpha-fetoprotein level was within the normal range.
Axial contrast-enhanced CT images reveal avid enhancement of the dominant nodule (arrows) during the late arterial phase (A) with a washout appearance during the portal (B) and more delayed (C) venous phases. Note that other arterially enhancing liver nodules do not show any absolute washout on delayed phase images
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F3
The lesion in question showed enhancement during the arterial phase, followed by washout during the portal and late venous phases (Fig. 3).