Pre-operative CT demonstrates a a heterogeneous mass in segment 5, measuring 5 x 4 cm, which exhibits typical hepatocellular carcinoma: hypervascular in the arterial phase, with wash on portal and delayed phases.
Central foci are identified in all phases hypoattenuation compatible with intratumoral necrosis and a peripheral ring hypervascular late phase which could correspond to tumor capsule.
Adjacent to this lesion is identified other hypervascular nodular lesion, nonspecific. 9mm identified only in the arterial phase.
Right inguinal hernia containing small bowel loops with no signs of complication.
Left pleural effusion.