Hepatic Lesions in a Cirrhotic Liver: Primary or Metastases?
Although prior studies showed that patients with cirrhosis have a lower risk of developing liver metastases, appropriate workup of incidental liver masses in cirrhotic liver is important for a correct diagnosis. Here we present a case of newly diagnosed liver cirrhosis with multifocal hepatic lesions, which was initially categorized as a LI-RADS (Liver Imaging Reporting and Data System) 5 lesions. Scintigraphy with111In-pentetreotide (Octreoscan) indicated a suspected thyroid nodule, later confirmed to represent medullary thyroid carcinoma lesion. The most relevant imaging finding of this rare form of thyroid malignancy is reviewed in this presentation.
Department of Radiology, Memorial Sloan Kettering Cancer Center, New York, New York mmatesan@u.washington.edu mannellilorenzo@yahoo.it.
Lorenzo
L
Mannelli
IRCCS SDN, Naples, Italy; and.
Serena
S
Monti
Department of Radiology, University of Washington, Seattle, Washington.
Verena
V
Grieco
Department of Radiology, University of Washington, Seattle, Washington mmatesan@u.washington.edu mannellilorenzo@yahoo.it.
Manuela
M
Matesan
D005260:Female; D006801:Humans; D008103:Liver Cirrhosis / Q000150:complications*; D008113:Liver Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging / Q000556:secondary*; D008875:Middle Aged; D013964:Thyroid Neoplasms / Q000473:pathology
LI-RADS; cirrhosis; hepatocellular carcinoma; medullary thyroid cancer; octreoscan