case_images: PMC6925780_01
case_images: CT demonstrating ascites and mildly nodular liver surface contour (oral and IV contrast present).
case_images: CRIONM2019-4935615.001.jpg
case_images: PMC6925780_01_CRIONM2019-4935615.001.jpg
case_images: fig1
case_images: Then, at the nine-year mark from her original breast cancer (2/2019), a routine follow-up CT scan (Figure 1) revealed a mildly nodular liver surface contour suggestive of cirrhotic changes, but no focal hepatic lesion.
case_images: MRI demonstrating course texture (VIBE axial image post gadolinium).
case_images: CRIONM2019-4935615.002.jpg
case_images: PMC6925780_01_CRIONM2019-4935615.002.jpg
case_images: fig2
case_images: She next had gadolinium-enhanced magnetic resonance imaging (MRI) of the liver (Figure 2), which demonstrated a nodular liver surface contour and a fibrotic appearance of the hepatic parenchyma.
case_images: Diffusely infiltrating nests of intermediate-grade ductal adenocarcinoma with disrupted hepatic parenchyma (H&E) ((a) 100x and (b) 400x). Tumor cell nests staining for estrogen (c) and progesterone (d) receptors.
case_images: CRIONM2019-4935615.003.jpg
case_images: PMC6925780_01_CRIONM2019-4935615.003.jpg
case_images: fig3
case_images: Immunohistochemical stains for estrogen receptor and progesterone receptor demonstrated positivity in 100% and 90% of tumor cells, respectively (Figure 3).