case_images: PMC10844462_01
case_images: Initial CT scan dated July 2021 showcasing hypodense lesions on segment V of the liver.
case_images: fonc-13-1304457-g001.jpg
case_images: PMC10844462_01_fonc-13-1304457-g001.jpg
case_images: f1
case_images: Upon workup, she was found to have multiple masses on the right lobe of her liver ( Figure 1 ).
case_images: Histopathology section illustrating a nested growth pattern of relatively monotonous cells with moderate clear to eosinophilic cytoplasm and characteristic abrupt keratinization (arrows).
case_images: fonc-13-1304457-g002.jpg
case_images: PMC10844462_01_fonc-13-1304457-g002.jpg
case_images: f2
case_images: There was discrepancy in the histopathologic diagnosis ( Figure 2 ) by our pathology department.
case_images: CT scan dated July 2022 showing recurrent lesions in the liver. The left lobe of the liver has grown significantly to compensate for the prior hepatic resection.
case_images: fonc-13-1304457-g003.jpg
case_images: PMC10844462_01_fonc-13-1304457-g003.jpg
case_images: f3
case_images: Imaging studies showed recurrent lesions in her remaining lobe of the liver and new lymphadenopathy; her left lobe of the liver had grown to compensate following prior partial hepatectomy ( Figure 3 ).