Fig. 5

A 54-year-old male patient with mild cirrhosis and single HCC at segment V. A Late arterial phase, B delayed phase, C T1 WI, D T2 WI, E in-phase gradient echo, F opposed phase gradient echo. The lesion elicits low T1 and mild high T2 signals and shows non-rim APHE and non-peripheral contrast washout. Hepatic fat fraction: 25.7% (moderate steatosis). Major HCC features: non-rim APHE (late), non-peripheral “washout” (late) and size = 2 × 2.2 cm. Ancillary HCC features favoring malignancy: mild T2 hyperintensity. Ancillary features favoring HCC in particular: non-enhancing capsule. The hepatic fat fraction in this case was measured at segment V instead of segment VII to avoid the areas of artifact