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A 75-year-old man with HCV-related cirrhosis and HCC with macrovascular invasion. Contrast-enhanced hepatic arterial (a), portal venous (b) and delayed (c) phase CT images show macrovascular invasion (arrows) of the portal vein adjacent to a 12 cm HCC lesion (arrowheads). Coronal image (d) of the same patient demonstrates enhancing soft tissue (arrow) within the main portal vein.
