case_images: PMC2225468_01
case_images: Selective right hepatic arteriogram demonstrating an
  extensive vascular mass right lobe liver.
  No evidence of
  contrast extravasations to suggest acute
  hemorrhage at this time.
case_images: SRCM2007-90169.001.jpg
case_images: PMC2225468_01_SRCM2007-90169.001.jpg
case_images: fig1
case_images: At that time, an emergent mesenteric angiogram was obtained demonstrating a multicentric pathological vascular mass involving the right hepatic lobe (as in Figure 1).
case_images: Intraoperative
  color photograph demonstrating the lobulated
  blood filled cystic mass consistent with hepatic angiosarcoma.
case_images: SRCM2007-90169.002.jpg
case_images: PMC2225468_01_SRCM2007-90169.002.jpg
case_images: fig2
case_images: The patient subsequently underwent an open surgical biopsy the next morning (see Figure 2).
case_images: CT scan
  abdomen with contrast demonstrated highly vascular
  tumor with heterogeneous uptake pattern consistent
  with hepatic angiosarcoma.
case_images: SRCM2007-90169.003.jpg
case_images: PMC2225468_01_SRCM2007-90169.003.jpg
case_images: fig3
case_images: Ultrasonography, computed tomography, and magnectic resonance imaging confirmed the findings of a hepatic neoplasm involving a significant portion of the right hepatic lobe (see Figure 3).
case_images: Right
  hepatic angiogram following chemoembolization of the
  hepatic angiosarcoma demonstrating the "snow storm"
  appearance consistent with diffuse uptake and entrapment
  of the ethiodol within the tumor.
case_images: SRCM2007-90169.004.jpg
case_images: PMC2225468_01_SRCM2007-90169.004.jpg
case_images: fig4
case_images: Successful embolization was noted fluoroscopically with diffuse uptake of the ethiodol solution within the tumor resulting in a "snow storm" uptake pattern (see Figure 4).
case_images: Three month
  followup CT scan abdomen with contrast demonstrating
  no enhancing tumor remaining following TACE. Extensive necrosis and deposition of ethiodol trapped
  within tumor.
case_images: SRCM2007-90169.005.jpg
case_images: PMC2225468_01_SRCM2007-90169.005.jpg
case_images: fig5
case_images: No further TACE procedures were performed during this time interval and his followup CT imaging at three months demonstrated no residual or new enhancing tumor, diffuse necrosis of the previous tumor bed, and ethiodol scattered throughout the tumor masses (Figure 5).