Fig. 1. Multiphase, contrast-enhanced CT scan in a 52 year-old man with a history of cirrhosis and transjugular intrahepatic portosystemic shunt placement.

(A) axial CT image obtained in the arterial phase shows an avidly arterially-enhancing lesion near the hepatic dome (white arrow). (B) coronal CT image obtained in the portal venous phase shows washout within the lesion with surrounding pseudocapsule (white arrow). (C) axial CT image obtained in the 3-m delayed phase shows continued washout with the lesion (white arrow). This lesion was radiographically diagnostic of HCC.