Liver mass Imaging

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Liver Mass Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Maria Fernanda Villarreal, M.D. [2]

Overview

Ultrasound is the initial method of choice for the evaluation of liver mass. The evaluation of liver mass will depend on several characteristics, such as: vascular pattern, margins, location, distribution, and attenuation. Further evaluation of liver mass, should include other diagnostic studies, such as: Triphasic CT scan with complementary tumoral markers,or MRI. Other imaging study useful for the malignancy evaluation of liver mass is PET scanning, which may be helpful for the detection of occult disease and malignancy assessment.

Imaging

 
 
 
 
 
 
Liver nodule or mass
Adapted from Bonder et al
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
More than > 1 cm
 
 
 
 
 
Less than < 1 cm
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Triphasic CT
Enhanced MRI
 
 
 
Increase in size and growth
 
Repeat ultrasound in 3 months
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Arterial hypervascularity and venous washout
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Yes
Hepatocellular carcinoma
 
No
Liver biopsy
 
Investigate according to size
 
Stable
 
 

References