Magnetic resonance imaging of the cirrhotic liver: An update

Figure 13 Large hepatocellular carcinoma with delayed pseudocapsule enhancement but no intralesional washout. Post-contrast fat-suppressed 3D-GRE T1-weighted images during the (A) late hepatic arterial, (B) poral venous, and (C) delayed phases; D: Fat-suppressed SSFSE T2-weighted image. There is a large right hepatic lobe mass, which demonstrates heterogeneous, intensely increased arterial enhancement (arrowhead, A) with progressive fading throughout the subsequent images (B), but no clear washout (C). The lesion demonstrates delayed pseudocapsular enhancement (black arrowheads, C) and mildly increased T2 signal intensity (arrowhead, D) in keeping with a large HCC. HCC: Hepatocellular carcinoma; GRE: Gradient recalled echo; SSFSE: Single-shot fast spin-echo.