Hepatic Mass in a Patient With Bladder Cancer History

Question: An 82-year-old asymptomatic man presented with an incidental finding of liver lesion on a computed tomography (CT) angiogram performed for infrarenal abdominal aortic aneurysm repair surveillance. He had a history of bladder cancer 7 years prior, with no evidence of disease since the end of the treatment. He did not have history of  liver disease or immunosuppression. At presentation, his laboratory examinations were normal. He underwent abdominal magnetic resonance imaging (MRI) that showed a 3.5 × 3.0-cm liver mass in segment II/IVA; the mass was T2-weighted images mildly hyperintense (Figure A, arrow) and T1-weighted ima ge hypointense (Figure B, arrow) to the background liver, and demonstrated hyperenhancement in the arterial phase (Figure C, arrow), and heterogeneous enhancement and capsule on the delayed phase (Figure D, arrow).

Source: Gastroenterology - January 16, 2018 Category: Gastroenterology Authors: Natally Horvat, Monica Ragucci, Lorenzo Mannelli Tags: Clinical Challenges and Images in GI Source Type: research