PMC8046561_01
Liver MRI: demonstrates several liver lesions (segments 1, 3, 4, 7). These lesions were new compared to the liver MRI five years ago. One lesion in segment 3 and one lesion in segment 1 were new compared to the MRI scan of one month ago.
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Subsequently, contrast-enhanced MRI of the liver was performed which showed seven lesions suspect for metastatic disease (Figure 1).
Liver MRI one month earlier demonstrated only one lesion in segment 3 and no lesion in segment 1.
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In addition, two lesions were new compared to the MRI performed one month earlier in another hospital (Figure 2).
PMC8046561_02
Liver CT demonstrated the onset of seven liver lesions suspect for metastatic disease.
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The CEA level was low (<1.0 mug/L), but a thoracoabdominal CT scan demonstrated multiple focal liver lesions suspicious for metastatic disease (Figure 3).
The lesions were isointense in T1-weighted images and hyperintense in T2-weighted images and did not demonstrate any diffusion restriction.
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Liver MRI with and without gadoxetate sodium was performed (Figure 4).