Diffuse hepatocellular carcinoma with portal vein thrombosis and arterioportal shunt

Discussion:

The typical enhancement criteria of hepatocellular carcinoma are enhancement in arterial phase followed by rapid washout in portovenous and delayed phases. This is owing to its tumoral angiogenesis. Two complications of HCC are seen in the current case including tumoral invasion of the portal vein and arterio-portal AV shunt.

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