Multicenteric hepatocellular carcinoma in a cirrhotic liver

Discussion:

Liver cirrhosis with two malignant focal hepatic lesions; consistent with multicenteric hepatocellular carcinomas.
Innumerable small arterially enhancing lesions that get isodense in the portal-venous and delayed phases are suggestive of regenerative or dysplastic nodules.
Portal hypertension, splenomegaly and ascites.
Enlaged right cardiophrenic lymph node; likley metastatic deposit.
Small porta-hepatis lymphadenopathy.

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