Fig. 3

A 64-year-old male patient with moderate cirrhosis and multiple HCC lesions. A Late arterial; B delayed phase; C diffusion-weighted images, showing a small focal lesion (HCC) at the left lobe segment II with early non-rim APHE and restricted diffusion. D Late arterial, E delayed phase, F ADC image obtained 3 months later showing enlargement of the lesion. G In-phase gradient echo, H opposed phase gradient echo images showing Hepatic fat fraction: 17.2% (moderate steatosis). Major HCC features: Non-rim APHE (late) “Please note the absence of the delayed enhancing capsule in this case.” Ancillary HCC features favoring malignancy: restricted diffusion, subthreshold growth “Unequivocal size increase of a mass, less than threshold growth”