Utility of endoscopic ultrasound and endoscopy in diagnosis and management of hepatocellular carcinoma and its complications: What does endoscopic ultrasonography offer above and beyond conventional cross-sectional imaging?

Figure 2 Endoscopic ultrasonography (EUS) diagnosis of primary liver tumors. A and B: Indentations seen in the duodenal bulb and stomach, from large lesions in the right and left lobes of the liver; C: On EUS, the entire liver tissue was seen replaced by numerous hyperechoic lesions of medium size, causing hepatomegaly and hence indentations. Fine needle aspiration (FNA) of a prominent and accessible hyperechoic lesion obtained, which was diagnostic of neuroendocrine tumor; D: In another patient, EUS-FNA of solitary hypoechoic liver lesion obtained, which diagnosed hepatocellular carcinoma.