case_images: PMC2990241_01
case_images: The Duplex scanning showed hepatomegaly (18 cm of longitudinal diameter) with presence of heterogeneous mass in the right lobe.
case_images: CRM2010-919457.001.jpg
case_images: PMC2990241_01_CRM2010-919457.001.jpg
case_images: fig1
case_images: The mass was hyperechoic with some calcifications and few anechoic foci, secondary to haemorrhage and necrotic processes (Figure 1).
case_images: Computed Tomography (CT): axial arterial phase (a); coronal venous phase (c); MIP axial and coronal (b-d). The CT confirmed a mass with heterogeneous density that occupied almost the whole right lobe of the liver (a-c). MIP images showed compressive effects of the mass on sovrahepatic veins; the vessels, were displaced but not infiltrated (b-d).
case_images: CRM2010-919457.002.jpg
case_images: PMC2990241_01_CRM2010-919457.002.jpg
case_images: fig2
case_images: Contrast enhancement was low and heterogeneous (Figure 2).
case_images: Magnetic Resonance Imaging (MRI): axial T2-weighted images (a); axial T2-SPAIR weighted image (b); axial and coronal THRIVE (c-e); coronal balanced (f); T2-weighted images demonstrated a 23 x 14 x 13 cm heterogeneous mass in the right lobe (a-b). THRIVE images showed heterogeneous contrast enhanced with enhancement of fibrosis bands in tardive-phase (c-e). This heterogeneous mass occupied almost the whole right lobe of the liver presenting a well-defined capsule (f).
case_images: CRM2010-919457.003.jpg
case_images: PMC2990241_01_CRM2010-919457.003.jpg
case_images: fig3
case_images: Furthermore right kidney was displaced posteriorly by the mass with its vascular pedicle (Figure 3).
case_images: Microscopic examination of mass was composed by a combination of mesenchymal and epithelial elements. The surgical diagnosis confirmed the mixed hepatoblastoma.
case_images: CRM2010-919457.004.jpg
case_images: PMC2990241_01_CRM2010-919457.004.jpg
case_images: fig4
case_images: Histopathologic examination revealed the presence of mesenchymal and epithelial cells in bioptic specimen and confirmed the diagnosis of a mixed hepatoblastoma (Figure 4).