case_images: PMC7376597_01
case_images: Anteroposterior chest radiograph shows a median sternotomy defect due to previous open-heart surgery and mild cardiomegaly with epicardial pacer/leads
case_images: ejohg-10-42-g001.jpg
case_images: PMC7376597_01_ejohg-10-42-g001.jpg
case_images: F1
case_images: She underwent five aortopulmonary shunt operations in early childhood, followed by classic Fontan operation at ten years of age (Fig. 1).
case_images: Grayscale (A) and color Doppler (B) US images demonstrate a well-circumscribed, hypervascular hepatic nodule (arrows) in segment 7
case_images: ejohg-10-42-g002.jpg
case_images: PMC7376597_01_ejohg-10-42-g002.jpg
case_images: F2
case_images: HCC in the cirrhotic background (Fig. 2). However, serum alpha-fetoprotein level was within the normal range.
case_images: Axial contrast-enhanced CT images reveal avid enhancement of the dominant nodule (arrows) during the late arterial phase (A) with a washout appearance during the portal (B) and more delayed (C) venous phases. Note that other arterially enhancing liver nodules do not show any absolute washout on delayed phase images
case_images: ejohg-10-42-g003.jpg
case_images: PMC7376597_01_ejohg-10-42-g003.jpg
case_images: F3
case_images: The lesion in question showed enhancement during the arterial phase, followed by washout during the portal and late venous phases (Fig. 3).