case_images: PMC11004284_01
case_images: (A) Before conversion therapy, a dynamic contrast-enhanced abdominal MRI showed a tumor in the right lobe of the liver that was roughly 19.1x14.6x10.4cm in size. (B) Before conversion therapy, an abdominal coronal MRI showed the distal end of the right branch of the portal vein are poorly visualized, which is consistent with invasion by HCC (white arrow). (C) The tumor in the right lobe of the liver shrank to 8.6x6.9cm in size after conversion therapy, according to an abdominal contrast-enhanced CT scan. (D) CTA revealed roughly normal blood flow across the hepatic arteries. (E, F) The liver's three-dimensional reconstruction from the positive and right-side views showed the location of the tumor (the yellow part). (G) The target lesions had coagulative necrosis, hyperplasia of the surrounding fibrous tissue, and lymphocyte infiltration, according to the postoperative pathology (HE staining). (H, I) The patient's latest dynamic contrast-enhanced abdominal MRI revealed encapsulated fluid (white circles) with no discernible enhancement at the site of liver operation after the hepatectomy.
case_images: fonc-14-1280805-g001.jpg
case_images: PMC11004284_01_fonc-14-1280805-g001.jpg
case_images: f1
case_images: Besides, the distal end of the right hepatic vein and the right branch of the portal vein are poorly visualized, which is consistent with invasion by HCC ( Figures 1A, B ). Following the final conversion treatment, the abdominal contrast-enhanced computed tomography (CT) revealed tumor in the right lobe of the liver shrinks to 8.6x6.9cm ( Figure 1C ) and CT angiography (CTA) showed approximately normal hepatic artery blood flow ( Figure 1D ). The liver's three-dimensional reconstruction ( Figures 1E, F ) revealed a future liver remnant (FLR)/standard liver volume (SLV)=49.6%. Figure 1G ). Following surgery, the patient recovered without incident, and no evident problems were discovered. The patient's latest follow-up dynamic contrast-enhanced abdominal MRI showed that encapsulated fluid seen at the site of liver surgery with no significant enhancement ( Figures 1H, I ).
case_images: This patient's treatment history.
case_images: fonc-14-1280805-g002.jpg
case_images: PMC11004284_01_fonc-14-1280805-g002.jpg
case_images: f2
case_images: The treatment history of this patient is detailed in  Figure 2 .