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Fig. 3 | BMC Medical Imaging

Fig. 3

From: Identification of the origin of tumor in vein: comparison between CEUS LI-RADS v2017 and v2016 for patients at high risk

Fig. 3

It illustrates an HCC lesion categorized LR-5 subclass of LR-TIV. A 4.0 cm HCC lesion in a 67-year-old man with chronic HBV infection and cirrhosis. (a) The heterogenous lesion (white arrowheads) with portal vein tumor thrombosis (yellow triangle) were demonstrated at B-mode ultrasound. (b) Color Doppler US showed few doted-like flows in the tumor thrombosis. (c) CEUS showed the lesion and tumor thrombosis displayed APHE at 23 s after SonoVue injection. (d) Mild washout was presented in the delayed phase (134 s). The lesion was proved to be low-grade HCC (G3) on pathologic analysis. APHE: Arterial phase hyperenhancement, CEUS: Contrast-Enhanced Ultrasound, HBV: Hepatitis B virus, HCC: Hepatocellular Carcinoma, US: Ultrasound

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