Imaging in Oncology

PERIPHERALLY ENHANCING LIVER MASS

Claudia G. Berman, MD, Associate Professor of Radiology
H. Lee Moffitt Cancer Center & Research Institute

This regular feature will enhance your knowledge of imaging technology
in oncologic diagnosis, treatment, and evaluation.

Case Description:

    A 45-year-old woman presented with a suspicious 1.6-cm mass on mammogram and ultrasound. An infiltrating lobular cancer and a positive sentinel lymph node were found at surgery. Subsequent axillary dissection revealed 15 additional negative lymph nodes. The staging abdominal computed tomography (CT) scan is shown in Fig 1.

 The CT image of the liver shows:

1. peripheral enhancement of necrotic liver metastasis

2. findings suggestive of a cavernous hemangioma

3. a coincidental hepatoma

4. a benign hepatic cyst

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