Hepatocellular carcinoma and synchronous liver metastases from colorectal cancer in cirrhosis: A case report

Figure 1 Computer tomography scans of the abdomen performed on admission. A: Arterial phase computer tomography (CT) scan shows small hepatocellular carcinoma nodule with mild enhancement (arrow) in right liver lobe; B: Hepatic venous phase; and C: Delayed phase CT scan at same level shows isoattenuation of lesion to liver parenchyma.

Figure 2 Computer tomography scans of the abdomen performed on admission. A: Arterial phase computer tomography (CT) scan shows intense heterogeneous rim hyperenhancement of two round metastatic lesions in right liver lobe (arrows); B: Hepatic venous phase; and C: Delayed phase and CT scan show persistent rim enhancement around lesions (arrows). Diagnosis was confirmed at biopsy.

Figure 3 Computer tomography scans of the abdomen performed on admission. Contrast material-enhanced axial computer tomography scan shows luminal narrowing and marked segmental circumferential thickening of the hepatic colon flexure. Adenocarcinoma was confirmed at colonoscopy and biopsy.