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Egyptian Journal of Radiology and Nuclear Medicine
Fig. 2 | Egyptian Journal of Radiology and Nuclear Medicine

Fig. 2

From: Does liver diffusion tensor imaging (L-DTI) has a role in differentiation of hepatic focal lesions? Analytic study for assessment of the value of L-DTI in differentiating hepatic focal lesions according to LI-RADS

Fig. 2

A 45-year-old female patient with positive HCV and history of ovarian cancer underwent abdominal ultrasonography that showed right hepatic focal lesion. A Axial T2 image shows a 4 cm segment VI focal lesion displaying low T2 signal. B axial diffusion and C ADC images show marked diffusion restriction with DWI-ADC value 0.82 D Axial DTI gray scale image, E DTI-ADC map and F FA map: the DTI-ADC value is 0.57 and the FA value was high 0.54. G non-contrast T1 H arterial phase and I delayed phase of the dynamic study showed heterogeneous enhancement of the lesions. The lesion was categorized as LR-M. True cut biopsy was done and the pathology result was metastatic adenocarcinoma

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