Fig. 1

A–D, Case (1): A female patient with segment VI hypoechoic focal lesion about 3 × 2.5 cm shows no specific pattern of enhancement at the triphasic CT with negative tumor markers, the patient was planned for a tru-cut biopsy. A X-plane imaging of the X matrix probe showing right hepatic lobe segment VI Hypoechoic focal lesion with the reference plane at the right panel, the orthogonal plane at the left panel, with lateral tilt 15 degrees, B 3D images and volume rendering images of the hepatic focal lesion noted at segment VI, C X-plane imaging showing the whole needle at the reference plane at the right panel, with the tip of the needle at the center of the lesion at the left panel arrow, with lateral tilt 18 degrees, D 3D images and volume rendering images with the tip of the needle noted inside the hepatic focal lesion. Two cores of biopsies were taken and sent to histopathology and it was confirmed to be HCC