Fig. 4

A 59-year-old male patient with moderate cirrhosis and single HCC lesion at segment VI. A Early arterial phase, B delayed phase, C T2 WI, D in-phase gradient echo, E opposed phase gradient echo. The lesion elicits mild high T2 signals and shows early non-rim APHE and non-peripheral contrast washout. Moderate amount of ascites is present. Hepatic fat fraction: 7.3% (mild steatosis). Major HCC features: non-rim APHE (early), non-peripheral “washout” (early) and size = 2.3 × 2.5 cm. Ancillary HCC features favoring malignancy: mild T2 hyperintensity. Please note the absence of the delayed enhancing capsule in this case