PMC5733832_01
Triple phase CT scan notable for a near water attenuating cyst occupying the central sections of the liver with involvement of the middle hepatic vein. There are few clustered microcalcifications in the cyst.
CRIS2017-8314102.001.jpg
PMC5733832_01_CRIS2017-8314102.001.jpg
fig1
MDCT of the liver (Figure 1) was notable for a cystic SOL with enhancing septae occupying segments 4a and 4b and abutting the middle hepatic vein.
Panels (a) and (b): tumor occupying segments 4a, 4b, 5, and 8 with relative sparing of 6, 7, 2, 3, and 1. Panel (c) demonstrating resection bed of the tumor after central hepatectomy with remaining liver segments. Panel (d) demonstrates the cut section of the tumor with a Swiss cheese pattern with multiple cystic spaces traversed by septae.
CRIS2017-8314102.002.jpg
PMC5733832_01_CRIS2017-8314102.002.jpg
fig2
At operative exploration (Figure 2) the tumor was found to extend to segments 5 and 8.