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. 2021 Nov 12;21:427. doi: 10.1186/s12876-021-02002-1

Table 2.

Imaging features of intrahepatic cholangiocarcinoma presenting as pyogenic liver abscess

Imaging modality Imaging features Frequency
Ultrasonography A prominent edema belt surrounding the mass and an intralesional irregular necrotic/liquidized area 2/3
Low blood supply to the mass parenchyma 2/3
Multiple lymph nodes enlargement in the hepatic hilar area and the retroperitoneal space 3/3
CT/MRI Large, patchy necrotic area without enhancement in the mass; no double target sign of liver abscess; rough and irregular inner wall; multiple dot/patchy and wall nodule enhancements in the mass 8/8
The abscess wall and the marginal parenchyma were supplied by the hepatic artery; the intralesional arteries were rough and disrupted; a rapid-increase-rapid-decrease pattern of the peripheral lesion enhancement 4/8
Bile duct dilatation adjacent to the mass; intrahepatic cholangiolithiasis in two patients showed CT hypodensity, T1 hypointensity, T2 hyperintensity, and delayed enhancement 4/8
Diffusion-weighted imaging Significant restricted diffusion in the necrotic area of the mass; irregular ring-like restricted diffusion in the marginal parenchyma; hyperintensity in the diffusion-weighted images and hypointensity in the apparent diffusion coefficient images 7/7
T1-weighted imaging Multiple patchy hemorrhagic foci in the mass 3/7
Ultrasonography/CT/MRI Multiple lymph nodes enlargement in the hepatic hilar area and the retroperitoneal space 5/8