Figure 10. a–c.

A 67-year-old female with hepatitis C-related cirrhosis and secondary non-Hodgkin B-cell lymphoma. Hepatic arterial phase fat-saturated volumetric T1-weighted image (a) demonstrated one of several small, well-defined hepatic lymphomatous nodules (arrow) that appeared hypervascular. No washout was noted in the delayed phase (not shown). In the hepatobiliary phase, 20 min after Gd EOB-DTPA administration, the lesion was hypointense (b). On high-B-value diffusion-weighted axial imaging (c), the lesion showed restriction. Although in the setting of cirrhosis these findings were interpreted as hepatocellular carcinoma, due to the number and size stability in comparison to a CT performed three years earlier (not shown), a biopsy was performed, which showed non-Hodgkin B-cell lymphoma.