070918 HEPATOBLASTOMA

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070918 HEPATOBLASTOMA

Random Case

Authored By: pedrad CSH, Radiologist, Chung Shan Medical University Hospital, Taiwan.

Patient: 10 month old male

History: Yellowish skin for one month.
Poor activity (+), abdominal distension(+).
Total bilirubin: 0.9 mg/dl
ALT: 20 IU/l
AST: 96 IU/l
ALP: 104 IU/l
r-GT: 95 IU/l

Images:


Fig. 1: KUB


Fig. 2: CT, pre-and post- IV contrast


Fig. 3: CT, post contrast_axi1


Fig. 4: CT, post contrast_axi2


Fig. 5: CT, post contrast_axi3


Fig. 6: CT, post contrast_axi4


Fig. 7: CT, post contrast_axi5


Fig. 8: CT, post contrast_axi6


Fig. 9: CT, post contrast_cor1


Fig. 10: CT, post contrast_cor2

Images:

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Findings:

KUB:
1. Increased opacity in upper and middle abdomen, nature to be
determined.
2. Recommendation: Further evaluation is suggested.

CT scan of abdomen with pre- and post intravenous contrast, and
with multiplanar reconstruction:

1. A 13x10x7cm well-defined huge mass with mild contrast
   enhancement, arising from left lobe of liver with intralesion
   septation and calcifications, may due to hepatoblastoma.
2. Presence of marked mass effect of the lesion with compression
   of adjacent organs, including gallbladder, pancreas, and
   GI tract.
3. No detectable bony destruction from this examination.

Impression:
1. Huge liver tumor, suspicious hepatoblastoma.

Diagnosis: Hepatoblastoma
(Marked elevated alpha-fetoprotein: 845956.5 ng/ml)

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