Role of contrast enhanced ultrasonography in the assessment of hepatic metastases: A review

Figure 3 Hypervascular liver metastases visualized by CEUS. The patient is a woman, 77 years old, with renal cancer and hypervascular liver metastases in segment 6 as visualized with CEUS. In the arterial phase, the metastases present a hyper-reflective signal when compared to the surrounding normal liver parenchyma (arrows). The non- enhanced area in the center represents necrosis. In the late phase there is clearly a washout of contrast in the metastases (w). The kidneys are visualized below the liver (k). A: Arterial phase; B: Late phase.