Incidental Discovery of Hepatocellular Carcinoma on 18F-PSMA PET CT Performed for Prostate Cancer Reassessment

Figure 2

(a–c) MRI of the abdomen. Coronal T2 HASTE image (a) demonstrates a round focus of subtly increased T2 signal in the anterior left hepatic lobe (arrow). Axial gradient echo opposite phase image (b) demonstrates a round focus of decreased signal in the anterior left hepatic lobe (arrow). Axial fat-suppressed T1 image (c) shows the lesion with portal venous washout represented by decreased enhancement in comparison to the surrounding healthy hepatic parenchyma, a feature suspicious for malignancy. Of note, this hepatocellular carcinoma did not demonstrate the more typical arterial enhancement.

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