Click on image to view larger version.
Figure 11. 53-year-old man with hepatocellular carcinoma post-transcatheter arterial chemoembolization (TACE). (a) Portal phase CT scan shows dense accumulation of iodized oil in the right hepatic mass (arrow). (b, c) T2 weighted MR images obtained 5 months post-TACE with an emulsion of 30 mg of adriamycin and 3 ml of iodized oil, shows a dilatation of right intrahepatic bile ducts. This finding suggests bile duct necrosis as a complication of TACE. The right hepatic mass, with retention of iodized oil, is hypointense (arrow). (d, e) On dynamic fast low angle shot (FLASH) MR images obtained 30 s after injection of contrast media, the right hepatic mass is not enhanced (arrow). (f) Portal phase CT scan obtained 19 months post-TACE shows severe atrophy of hepatic parenchyma and a capsular retraction in the right hepatic lobe (arrow).
