July 2014

New developed liver lesion in a patient known to have hepatitis

Clinical Info

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
There is a new developed liver lesion next to the gallbladder
Another image of the same liver lesion
Another image of the same liver lesion
The lesion impresses the gallbladder
The lesion impresses the gallbladder
The mass is vascularized
The mass is vascularized
Another image with color doopler showing the mass is vascularized
Another image with color doopler showing the mass is vascularized
There is an irregular liver contour
There is an irregular liver contour
Another image of the irregular liver contour
Another image of the irregular liver contour
The spleen is enlarged
The spleen is enlarged
Transverse image of the enlarged spleen
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

Created with

  • Hitachi Ultrasound System