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Fig. 5 | Egyptian Journal of Radiology and Nuclear Medicine

Fig. 5

From: Role of 18F-FDG PET/CT in assessment of HCC patients after therapeutic interventions compared to DW MRI

Fig. 5

A 57-year-old male patient with a history HCC underwent right lobectomy, had TR-LR viable recurrent lesion at segment IV, with two active focal lesions having diffusion restriction at segments IV and III, as well as active metastatic pulmonary nodules. Arterial (A), venous (B) and delayed (C) triphasic CT show recurrent HCC at segment IV (white arrow) shows APHE and washout. DWI (D) and ADC map (E) shows two focal lesions of restricted diffusion in segment IV (white vertical arrow) with mean ADC value measuring 798 mm2/s, and also at segment III (red horizontal arrow). Fused PET/CT (F) and PET (G) images show increased FDG uptake in both lesions, achieving up to 7.7 SUVmax. Fused PET/CT (H) image revealed active right lung metastatic nodules (white arrows)

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