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Figure 4. Changes mimicking cirrhosis. (a) There is a single metastasis in the right lobe of the liver, arrowed, on this contrast enhanced CT. The size and shape of the liver is, however, normal. (b) There is considerable morphological change in the size and shape of the liver on this post-chemotherapy CT obtained 12 months after the original scan. The right lobe is irregular with hypertrophy of the left and caudate lobe. These appearances are similar to those of background cirrhosis. A non-focal liver biopsy was performed into the right lobe and this demonstrated diffuse metastatic adenocarcinoma.
