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T2 sagittal view of MRI abdomen shows multiple, predominantly peripheral, contrast enhancing nodules in the liver.
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Magnetic resonance imaging (MRI) of the abdomen days later demonstrated multiple peripheral, contrast enhancing 3-centimeter nodules throughout the liver (Figure 1).
Gross pathology of this patient's liver status-post liver transplantation. [Courtesy of: Mayo Clinic Liver Transplant Program]
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She was referred for evaluation for liver transplantation and subsequently underwent orthotopic liver transplantation less than one year after diagnosis (Figure 2).