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. 2022 Apr 8;14(4):775. doi: 10.3390/v14040775

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© 2022 by the authors.

Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).

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Initial MRI with normal AFP and elevated %L3 (July 2008). (A) The axial T2-weighted gradient echo image shows a small hyperintense lesion (arrow) in segment 4A. A second hyperintensity (dashed arrow) corresponds to a hemangioma. (B) The corresponding axial T1-weighted fat-suppressed arterial-phase postcontrast image shows hyperenhancement (arrow) in the lesion subsequently found to be a small HCC, although currently without associated features to clinch the diagnosis. Without washout, capsule appearance, or other typical HCC findings, the lesion is indeterminate.