case_images: PMC6183218_01
case_images: Ultrasound image of the liver shows multiple, ill-defined hypoechoic confluent nodular masses (chevron arrows). Note the central necrosis area in one of the larger-sized lesions (large arrow).
case_images: bjrcr.20160038.g001.jpg
case_images: PMC6183218_01_bjrcr.20160038.g001.jpg
case_images: fig1
case_images: Some of the larger lesions had central necrosis and cavitation areas (Figure 1).
case_images: Ultrasound image of the liver reveals poorly defined hypoechoic subcapsular area and a tortuous tract, extending from the capsule to the deeper parenchyma (arrowheads).
case_images: bjrcr.20160038.g002.jpg
case_images: PMC6183218_01_bjrcr.20160038.g002.jpg
case_images: fig2
case_images: We observed hypoechoic curvilinear tracts extending from the liver capsule to the parenchyma, which did not demonstrate abnormal vascularity on colour Doppler ultrasound examination (Figure 2).
case_images: Contrast-enhanced CT images in the portal phase show multiple small, clustered hypodense nodular masses with hazy irregular margins in the right lobe of the liver parenchyma (arrows).
case_images: bjrcr.20160038.g003.jpg
case_images: PMC6183218_01_bjrcr.20160038.g003.jpg
case_images: fig3
case_images: Contrast-enhanced CT obtained in the portal venous phase revealed multiple, clustered, hypodense nodular liver masses with irregular margins (Figure 3).
case_images: Contrast-enhanced CT images in the portal phase demonstrate two hypodense curvilinear tracts, extending from the liver capsule to the parenchyma, in the hepatic segments V and VI (arrows).
case_images: bjrcr.20160038.g004.jpg
case_images: PMC6183218_01_bjrcr.20160038.g004.jpg
case_images: fig4
case_images: In addition, the presence of at least three hypodense curvilinear tracts, extending from the liver capsule to the parenchyma, were confirmed (Figure 4).
case_images: Post-treatment contrast-enhanced CT image in the portal phase 2 years later shows that the liver lesions had slightly regressed in size.
case_images: bjrcr.20160038.g005.jpg
case_images: PMC6183218_01_bjrcr.20160038.g005.jpg
case_images: fig5
case_images: A follow-up CT scan, obtained 2 years after her first admission, showed slight regression in the size of all the liver lesions (Figure 5 and Supplementary Video A and there were no new lesions.