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  West African Journal of Radiology
 

Figure 1: A 64-year-old male patient; case of chronic parenchymal liver disease. On follow-up conventional ultrasound (white arrow a), the patient is found to have space-occupying lesion and portal vein thrombosis. Serum alpha feto protein (AFP) level is 9727 ng/ml. Contrast-enhanced ultrasound is done targeting the larger lesion in the right lobe of the liver showing enhancement of the lesion in arterial phase at 22 seconds after contrast injection (black arrow, b) and washout in venous phase at 74 seconds (black arrow, c) and complete washout at delayed phase at 175 seconds (black arrow, d). Diagnosis is confirmed as hepatocellular carcinoma by biopsy

Figure 1: A 64-year-old male patient; case of chronic parenchymal liver disease. On follow-up conventional ultrasound (white arrow a), the patient is found to have space-occupying lesion and portal vein thrombosis. Serum alpha feto protein (AFP) level is 9727 ng/ml. Contrast-enhanced ultrasound is done targeting the larger lesion in the right lobe of the liver showing enhancement of the lesion in arterial phase at 22 seconds after contrast injection (black arrow, b) and washout in venous phase at 74 seconds (black arrow, c) and complete washout at delayed phase at 175 seconds (black arrow, d). Diagnosis is confirmed as hepatocellular carcinoma by biopsy