File:Cholangiohepatoma (Radiopaedia 54884-61154 Axial C+ delayed 19).jpg

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Summary:

Description	Radiopaedia case ID: 54884 Image ID: 31962945 Image stack position: 19/24 Plane projection: Axial Aux modality: C+ delayed Modality: CT System: Hepatobiliary Findings: Right lobe of liver shows an infiltrating retractile mass lesion with heterogeneous enhancement. The lateral, superior and inferior margins of the lesion show enhancement in delayed phase whereas the medial aspect of the lesion close to the left lobe shows arterial phase enhancement with washout in subsequent phases. Lesion measures approximately 10 x 6 cm and is seen to infiltrate and obliterate the right hepatic duct and extend into the porta hepatis where it infiltrates the proximal common bile duct with resultant IHBR dilatation in the left lobe of the liver. CBD stent seen in situ. Right portal vein, right hepatic artery are seen passing through the tumor without significant luminal narrowing. Right and middle hepatic veins are infiltrated and obliterated by the tumor. Main portal vein, common hepatic artery and their branches supplying the left lobe are free of tumor. Multiple other ring enhancing lesion are scattered in both lobes of liver suggestive of metastasis
Date	Published: 18th Aug 2017
Source	https://radiopaedia.org/cases/cholangiohepatoma
Author	Donald Luke Mathew
Permission (Permission-reusing-text)	http://creativecommons.org/licenses/by-nc-sa/3.0/

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	Date/Time	Thumbnail	Dimensions	User	Comment
current	14:03, 10 August 2021		512 × 512 (113 KB)	Fæ (talk \| contribs)	Radiopaedia project rID:54884 (batch #7554-67 C19)

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