Hepatocellular carcinoma with portal vein invasion
Patient with hepatitis C virus and liver cirrhosis developed abdominal distension
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Ill-defined area of enhancement in arterial phase involving the left hepatic lobe that shows rapid washout in portovenous phase with associated infiltration of the left branch of portal vein.
Diagnosis: Diffuse left hepatic lobe hepatocellular carcinoma with malignant infiltration of the left branch of portal vein.