case_images: PMC9975287_01
case_images: MRI abdomen (Case 1) showing numerous dominant, LI-RADS 5 lesions with arterial enhancement and washout as well as multiple arterially enhancing lesions with variable washout throughout the liver.
case_images: cureus-0015-00000034357-i01.jpg
case_images: PMC9975287_01_cureus-0015-00000034357-i01.jpg
case_images: FIG1
case_images: Magnetic resonance imaging (MRI) of the abdomen revealed 5 dominant, LI-RADS 5 lesions with arterial enhancement and washout as well as numerous arterially enhancing lesions with variable washout throughout the liver (Figure 1).
case_images: PMC9975287_02
case_images: MRI abdomen (Case 2) showing dominant, LIRADS 5 lobulated mass in segment 8 measuring up to 5.6 cm with arterial enhancement with washout and enhancing pseudocapsule with adjacent satellite nodules.
case_images: cureus-0015-00000034357-i02.jpg
case_images: PMC9975287_02_cureus-0015-00000034357-i02.jpg
case_images: FIG2
case_images: MRI of the abdomen showed a dominant segment 8 LI-RADS 5 lobulated hepatic mass with arterial enhancement and washout and adjacent satellite nodules as well as additional segment 7 and segment 6 arterially hyperenhancing lesions with variable washout and extensive tumor thrombus in the portal venous system (Figure 2).
case_images: PMC9975287_03
case_images: CT abdomen (Case 3) showing large central hepatic mass 8.4x8.4x3.2 cm with numerous hypoenhancing masses throughout liver.
case_images: cureus-0015-00000034357-i03.jpg
case_images: PMC9975287_03_cureus-0015-00000034357-i03.jpg
case_images: FIG3
case_images: A CT of the abdomen demonstrated a large central hepatic mass measuring 8.4 x 8.4 x 3.2 cm with too numerous to count masses scattered throughout the liver (Figure 3).