MetResect
An educational tool to assist in the management of hepatic metastases in patients with colorectal cancer.

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Case 45: RADIOLOGIC ASSESSMENT

      Film Review  

Discussant: FERGUS COAKLEY, MD (Dr Venook Case)

CT of the liver dome:

This is a contrast-enhanced CT image through the upper part of the liver showing an approximate 4-cm hypodense suspicious mass in the lateral aspect of segment VII.

CT image of the porta hepatis:

This image shows three enlarged porta hepatis nodes as indicated by the arrows. The nodes have a kind of rounded appearance, measure up to approximately two centimeters and are at least relatively suspicious for metastasis by CT.

PET scans:

This is a single image from a contrast-enhanced CT showing a large, probably 5-cm suspicious hypodense mass in segment VII, abutting both the IVC and the right hepatic vein. This is in a somewhat difficult location surgically.

 

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