Imaging in Oncology
A LIVER ABNORMALITY IN A PATIENT WITH MESOTHELIOMA
Malcolm Williamson II, MD, and Evan W. Harris, MD
Radiology Service, H. Lee Moffitt Cancer Center & Research Institute
This regular feature will enhance your knowledge of imaging technology
in
oncologic diagnosis, treatment, and evaluation.
Case Description:
An 82-year-old man was diagnosed with a right pleural mesothelioma two and one half
years ago. He received no surgery, chemotherapy, or radiation therapy. Six months ago, he
developed a pericardial effusion, and a pericardial window was created. During the month
before computed tomography (CT) scanning, he complained of increasing abdominal girth, leg
edema, and shortness of breath, especially when lying flat in bed at night. The scan of
the upper abdomen is shown in Figs 1A-B.
The best diagnosis for the liver abnormality seen by CT is:
- cirrhosis
- diffuse metastatic lesions
- Budd-Chiari syndrome
- passive venous congestion of the liver
- diffuse fatty infiltration
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Volume 4 Number 4