July 2014

New developed liver lesion in a patient known to have hepatitis

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Clinical information

Patient was a hepatitis patient and came for a control examination.

Ultrasound Images & Clips

New developed liver lesion in a patient with known hepatitis

There is a new developed liver lesion next to the gallbladder

Another image of the same liver lesion

The lesion impresses the gallbladder

The mass is vascularized

Another lesion with color doopler showing the mass is vascularized

There is an irregular liver contour

Another image of the irregular liver contour

The spleen is enlarged

Transverse image of the enlarged spleen

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Conclusion

The irregular liver contour and the enlarged spleen are suggestive for liver cirrhosis and portal hyperetension. If you look at the CT scan the collateral veins in the form of esophagus varices are also suggestive for portal hypertension. Any new liver lesion that develops in these patients is a HCC umtil proven otherwise. Unfortunately for the patient the performed biopsy of the lesion proved it to be a HCC.

Details

Sex: Male
Age: 60

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Author

Dr. Taco Geertsma

Retired Radiologist, Gelderse Vallei Hospital

Dr. Taco Geertsma is the founder of UltrasoundCases.info and a retired radiologist and has worked in the Gelderse Vallei hospital from January 1, 1983. till July 1, 2014. He was the head of the ultrasound department for many years.

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