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Fig. 5 | Egyptian Journal of Radiology and Nuclear Medicine

Fig. 5

From: Right inferior phrenic artery; Don't miss on MDCT before chemoembolization of hepatic dome HCC

Fig. 5

Follow-up Multi-phase CT liver after TACE showing a a managed hepatic dome HCC with an exophytic growth pattern displaying scattered lipiodol with a large residual/recurrent active lesion at its cephalic portion (arrows). b Coronal MIP showing the ectopic arterial supply of the active lesion by the right inferior phrenic artery (arrows). c Selective conventional angiogram of the right inferior phrenic artery (white arrow) of the same patient showing arterial blush (black arrow) of the active lesion at the cephalic portion of the managed hepatic dome HCC. d Post-embolization proximal right phrenic angiogram with catheter tip at the vessel origin, demonstrating a lack of subdiaphragmatic tumor hypervascularity

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