case_images: PMC10039415_01
case_images: Triple-phase computed tomography of the abdomen. Innumerable hypo-enhancing liver lesions in an enlarged liver are demonstrated. Ascites and body-wall anasarca are also observed.
case_images: crg529633_f01.jpg
case_images: PMC10039415_01_crg529633_f01.jpg
case_images: F1
case_images: Computed tomography (CT) of the abdomen and pelvis showed cardiomegaly, hepatomegaly, and multiple ill-defined low-density lesions of varying sizes throughout the liver parenchyma (shown in Fig. 1).
case_images: a Neoplasm with organoid appearance and ill-defined cords, composed of small cells with central nuclei and inconspicuous nucleoli (H&E, x20). b Immunohistochemistry shows positive labeling for synaptophysin in tumor cells (x20).
case_images: crg529633_f02.jpg
case_images: PMC10039415_01_crg529633_f02.jpg
case_images: F2
case_images: Biopsy was consistent with tubular adenoma (shown in Fig. 2a, b).
case_images: Parasternal short axis view at the level of the aortic valve. The red arrow shows the thickened and calcified tricuspid valve.
case_images: crg529633_f03.jpg
case_images: PMC10039415_01_crg529633_f03.jpg
case_images: F3
case_images: The tricuspid valve leaflets were significantly thickened and calcified to the point of immobility (shown in Fig. 3).
case_images: Apical four-chamber view of the heart. The image shows severely dilated right atrium and ventricle, resulting in mal-coaptation of tricuspid valve leaflets (red arrows) and severe tricuspid regurgitation.
case_images: crg529633_f04.jpg
case_images: PMC10039415_01_crg529633_f04.jpg
case_images: F4
case_images: There was mal-coaptation of valve leaflets, resulting in severe regurgitation supported by hepatic vein systolic flow reversal (shown in Fig. 4).