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. 2016 Nov 12;45(3):138–144. doi: 10.1002/jcu.22421

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© 2016 The Authors Journal of Clinical Ultrasound Published by Wiley Periodicals, Inc.

This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial‐NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.

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A 70‐year‐old man with a history of nonalcoholic steatohepatitis underwent surgical resection of transverse colon cancer. Follow‐up imaging showed a 1.7‐cm tumor in S6. (A) Gd‐EOB‐DTPA‐enhanced MRI (EOB‐MRI) shows a hypointense lesion in T1‐weighted images (arrow). (B) EOB‐MRI shows a hyperintense lesion in T2‐weighted images (arrow). (C) EOB‐MRI shows a hyperintense lesion in arterial phase (arrow). (D) EOB‐MRI shows a hypointense lesion in hepatobiliary phase (arrow). The lesion had a diagnosis of liver metastasis (confidence scale 4). (E) Gray‐scale US shows a hypoechoic lesion in S6 (arrow). (F) Contrast‐enhanced US (CEUS) in arterial phase (40 seconds) shows hyperenhancing lesion (arrow). (G) CEUS shows isoenhancing lesion in late phase (arrow). The enhancement lasted more than 120 seconds. (H) CEUS shows hypoenhancing lesion in postvascular phase (arrow). The lesion had a diagnosis of not liver metastasis (confidence scale 1) from diagnostic criteria of CEUS, which was diagnosed hepatocellular carcinoma histopathologically.