Figure 5b. Bleeding hepatoma. (a) Unenhanced CT image shows perihepatic and perisplenic fluid, with an area of slightly higher attenuation (arrow) indicative of a clot along the left hepatic lobe. (b) Contrast-enhanced CT image shows the origin of the clot, a ruptured mass (arrow) that subsequently was proved to be a hepatocellular carcinoma, as well as active extravasation (arrowhead).