Hepatocellular carcinoma

Discussion:

There are two nodular lesions (blue arrows on the annotated image). Both are invisible on T2. The larger one has a hypointense rim on T1. Both enhance during the arterial phase and wash out centrally on the more delayed images consistent with hepatocellular carcinoma in a patient with cirrhosis. There are also some periportal cysts. The dark ring with central enhancement on the T1-weighted images is the TIPS stent (red arrow on the annotated image).

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