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. Author manuscript; available in PMC: 2020 Jun 1.
Published in final edited form as: Abdom Radiol (NY). 2019 Jun;44(6):2116–2132. doi: 10.1007/s00261-019-01948-x

Fig 5.

Fig 5.

Example of an intrahepatic cholangiocarcinoma (iCCA) with a hypervascular appearance. Patient is a 56-year-old man with cirrhosis secondary to hepatitis C who underwent screening MR examination. Arterial (A) and delayed phase (B) images after gadoversetamide (OptiMARK) administration demonstrate an observation measuring approximately 15 mm at the junction of segments 5 and 8 with non-rim APHE (A, arrow) and an ill-defined rounded area of decreased intensity with peripheral hyperintensity on the delayed phase (B, arrow). R1 scored this lesion as having nonperipheral “washout” and an enhancing “capsule,” whereas R2 did not score these features as present. Overall LI-RADS categories were LR-5 and LR-3 for R1 and R2, respectively.