PMC10291060_01
Initial MRI showing multiple hypervascular lesions and no macrovascular tumoral invasion: a main lesion (6 cm in diameter) with late washout on portal phase and slightly hyperintense T2 in the left lobe, and multiple smaller lesions in the right lobe. (A) Sequence T1 with injection (arterial phase): main lesion in the left lobe; (B) Sequence T1 with injection (arterial phase): multiple hypervascular lesions in the hepatic dome and (C) in the segment IV and V. (D) Sequence T1 with injection (portal phase): late washout of the main lesion. (E) T2 sequence: main left lesion slightly hyperintense T2.
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Radiological evaluation by CT and MRI concluded to several bilobar HCC nodules with the largest tumor diameter of 6 cm ( Figure 1 ).
Last follow-up MRI before LT showing complete disappearance of the hepatic lesions, associated with ascitic decompensation (sequence T1 with injection). (A) Main lesion in the left lobe; (B) segment IV and (C) hepatic dome.
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Liver MRI confirmed complete tumor disappearance ( Figure 2 ).