PMC9060811_01
Contrast abdominal Computed tomography shows multifocal heterogeneous contrast-enhancing lesion in both liver lobes.
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Renal sonography requested to detect a renal origin of the hypercalcemia incidentally revealed multiple hypoechoic lesions in the liver parenchyma, prompting computed tomography (CT) of the abdomen which demonstrated multiple hypodense lesions that showed peripheral contrast enhancement the largest one measured 7x5.5cm, consistent with multifocal hepatocellular carcinoma (Figure 1), computed tomography of the chest revealed metastatic nodular lesions in all lobes of both lungs.