Multidisciplinary approach for multifocal, bilobar hepatocellular carcinoma: A case report and literature review

Figure 1 Initial portal venous phase contrast-enhanced computerized tomography showing bilobar lesions consistent with hepatocellular carcinoma. A: Arterial phase contrast-enhanced low-dose radiation therapy planning computerized tomography showing post-transarterial chemoembolization treatment changes to bilateral lobes 3 mo after diagnosis; B: Arterial phase T1-weighted fat-saturated post-contrast magnetic resonance imaging showing complete right lobar mass response following proton radiation therapy 6 mo after diagnosis; C: Axial arterial phase T1-weighted fat-saturated post-contrast magnetic resonance imaging showing no evidence of disease following left hepatectomy; D: Axial arterial phase T1-weighted fat-saturated post-contrast magnetic resonance imaging showing no evidence of disease 14 mo after diagnosis.