case_images: PMC11652910_01
case_images: unenhanced and contrast-enhanced CT axial scans at different levels (A-C) showing multiple hypo-attenuating lesions spread throughout the liver, which appears hypertrophic with irregular margins.
case_images: gr1.jpg
case_images: PMC11652910_01_gr1.jpg
case_images: fig0001
case_images: ALP (208 U/L; n.v.: 44-147 U/L), CEA (6.4 ng/mL; n.v.: 0-3 ng/mL), CA-125 (469 U/mL; n.v.: 0-35 ng/mL), CA 15-3 (49 U/mL; n.v.: 0-35 ng/mL), CA 19-9 (841 U/mL; n.v.: 0-37 ng/mL). A contrast-enhanced CT shows multiple hypo-attenuating lesions spread throughout the liver (Fig. 1), moderate splenomegaly, dilatation of the porta, the splenic and the mesenteric vein, recanalization of the para-umbilical veins and aspecific hepatic hilar nodes.
case_images: ultrasound transverse scans of the left lobe showing diffuse and heterogeneous hypoechogenicity of liver parenchyma.
case_images: gr2.jpg
case_images: PMC11652910_01_gr2.jpg
case_images: fig0002
case_images: On ultrasound examination, the liver appears diffusely and heterogeneously hypoechoic (Fig. 2).