Fig. 2.

A 19-year-old women with Alagille syndrome and raised AFP (282 ng/ml), Child-Pugh class A5, MELD score of 10 and BCLC stage B. Axial MRI T1 FS images demonstrate an ill-defined HCC (yellow arrows) of segment VII with heterogeneous wash-in at the arterial phase (A), wash-out on portal venous phase (B) with restrictive diffusion (C). The HCC size is about 50 mm. Hyperselective TACE illustrates tumoral blush (arrow-heads) (D, E) which completely disappeared after chemoembolization (arrow-heads) (F). MRI control performed 1 year later shows no enhancement on late arterial phase (G) and no hypersignal on diffusion image (H)